Nomination Form 
NEADS Board of Directors 
Election 2004 

Candidate Name:  
Tel.:  
Address: 
City:  
Province:  
Postal Code:  

Position applied for (specify: province, territory or “open”):  


Two Nominators ( Nominators may be regular or associate member in good standing ) 

1) Name:  
Tel.:  
Address:  
City: 
Province: 
Postal Code: 

2) Name:  
Tel.:  
Address:  
City: 
Province: 
Postal Code: 


Please explain why you have decided to apply for this position. What do you feel you can contribute to the Association  as a member of the Board of Directors? (250 words or less)