Please complete this form to nominate individuals for LA 38. You many nominate up to five people with this form. Thank you!

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* 1. Your name

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* 2. Your email address

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* 3. Your LA class number

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* 4. Can we use your name when communicating with your nominee(s)?

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* 5. Nominee one

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* 6. Nominee two

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* 7. Nominee three

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* 8. Nominee four

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* 9. Nominee five

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