Northern Jazz Society Inc.

NZ Post Box 1151
Whangarei Mail Centre

COMMITTEE NOMINATION FORM

I wish to nominate _____________________________________ for the position of: [please circle one of the following]

President, Secretary, Treasurer, Music Co-ordinator, Newsletter co-ordinator, committee member.

Nominating person's signature ____________________________________

I second the nomination [signature] ________________________________

Both nominator and seconder, must be members of the Society.

I accept nomination [signature] ___________________________________

Please post the completed form to the above address, or get it to a committee member before the AGM.