SAMA 2020 Committee Nomination


Person submitting form *
Select one from the dropdown list
Disclaimer *
Please enter all fields marked *
Submitter *
Full name of person submitting form
Email Address of Submitter *
Required to send email confirmation of your submission
Nominee (person standing) *
Full name of nominee
Email Address 1 *
Email address of nominee
Proposer *
Full name of proposer
Email Address 2 *
Email address of proposer
Seconder *
Full name of seconder
Email Address 3 *
Email address of seconder
Desired Position 1 *
Positions / roles desired by Nominee (enter up to three)
Desired Position 2
Desired Position 3
Select one from each dropdown list for up to three roles
Additional information
Any other relevant information supporting the nomination
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