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Please use the form below to nominate candidates for Regional Representative for the term of office to begin April, 2010 and end April, 2013.

The nominations must be made by November 30th, 2009

 Regional Representative Nomination Form


The region you are nominating for?
Nominee's First Name
Nominee's Last Name
Nominee's Address1
Nominee's Address2
Nominee's City
Nominee's State
Nominee's Zip
Nominee's Phone Number
Nominee's E-mail
Nominee's Arch/Diocese
Nominee's Parish
Your First name
Your Last Name
Your Address
Your City
Your State
Your Zip
Your Phone
Your E-mail
Your Arch/Diocese
Your Parish


 

If you have trouble using this form click here



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