USMRC Board Nomination Form

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USMRC Board Nomination Form

The purpose of this form is to collect information about USMRC Board nominees.

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What is the candidate's first and last name? *

Your answer

What is the candidate's email? *

Your answer

What is the best phone number to reach the candidate? *

Your answer

What is your first and last name? *

Your answer

What is your email? *

Your answer

What is the best phone number to reach you? *

Your answer

Please briefly describe why this candidate would be appropriate as a USMRC board member. *

Your answer

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