Fillable Nomination Form Form -2021 Conference Form Fill

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Nomination Form Form -2021 Conference Form Fill

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PLEASE COMPLETED AND SEND BY:
AUGUST 27, 2021
Elections will take place at the
2021 NCBAA Annual
Conference during the Annual
Business Meeting.
Conference Detials
https://ncbaa.com/conference/
Name of Nominee
Mailing Address
Phone
BOARD OF DIRECTORS NOMINATION FORM
NORTH CAROLINA BAIL AGENTS ASSOCIATION
Completed forms may be submitted by:
Mail: 1220 Eastchester Dr., Ste 104, High Point, NC 27265 I Fax: 866-249-7020 I Email: info@ncbaa.com
1220 Eastchester Dr., Ste 104, High Point, NC 27265
Office: 919-832-0867 I Email: info@ncbaa.com
Company Name
City State Zip
Email
Nominee’s Information
Name Date
City State Zip
Email
Signature
Address
Phone
Nominated by
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Nomination Form Form -2021 Conference Form Fill

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Completed 16 April 2022

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