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N7PA Board of Directors <br />Nomination Form <br />Piease return to: <br />NJPA - Attn: Susan Nanik <br />PO Box 219 <br />202 12t" Street NE <br />Staples, MN 56479 <br />NO LATER THAN December 16, 2013 <br />would like to place in nomination the following <br />(Government Agency Name) <br />person who is presently serving on our governing board, council, or commission to <br />serve for a four-year term representing Sub-Reaion IV on the National Joint Powers <br />Alliance0 (NJPA) Board of Directors: <br />Person Nominated <br />Date <br />Term Expires December 31, 2017 <br />Signature of Government Official <br />For each person nominated, a brief biographical sketch should be included in the space <br />below which illustrates information on the candidate that would be of value to <br />governmental agency board members in your Sub-Region to consider as a part of the <br />election process. <br />