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* 1. Provide your contact information.

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* 2. What is your relationship with the nominee?

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* 3. Provide the contact information for the person you're nominating. If you do not have any of this information, feel free to leave blank or put n/a.

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* 4. Provide the contact information for your nominee's assistant (if applicable).

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* 5. What is the nominee's preferred method of communication?

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