Please complete this form to have the nominee’s name placed on the ballot to serve a two-year term on the MEUW Board of Directors beginning May 12, 2023.

Please complete a second form if you are nominating more than one individual.

I understand that, by clicking “Send” below, I am nominating the above-named individual for a role on the MEUW Board of Directors. I have discussed this with him/her and he/she knows I am making this nomination.