We, the undersigned members in good standing of Kehillat Chovevei Tzion, nominate ___________________________, who is a member in good standing of Kehillat Chovevei Tzion, to be a candidate for election to a two year term on the KCT Board of Trustees commencing in 2012.

 

________________________
Print Name		 ________________________
Signature		 ____________
Date
________________________
Print Name		 ________________________
Signature		 ____________
Date
________________________
Print Name		 ________________________
Signature		 ____________
Date

 

 

  

This form must be signed by at least three KCT members in good standing, excluding the nominee and his/her spouse. The candidate must be a KCT member in good standing.

 
Submit this form to: Kehillat Chovevei Tzion
PO Box 544
East Setauket, NY 11733

Attention: Nominating Committee

Nominations must be received by KCT no later than Friday, December 16, 2011.