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NOMINATION FOR MESA COUNCIL
for the period May 2010 until the next AGM in 2011

I hereby nominate………………………………………………………………………………….

For the position of …………………………………………………………………………………

Signed (nominator)………………………………………………………………………………...

Signed (seconder)…………………………………………………………………………………

I,……………………………………………………………… agree to the nomination above.

Date:……………………………………….