Board Nomination Form

NMHBA Board of Directors Nomination Form

Nominator’s Name:

Organization/Employer:

Mailing Address:

Email Address:

Day Phone:

Evening Phone:

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Nominee’s Name:

Organization/Employer:

Mailing Address:

Email Address: 

Day Phone: 

 Evening Phone:

Is the nominee aware of his/her nomination? ____  Yes ____  No

                                                                                                                                                           

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OPTIONAL: Please include a short bio of the nominee (no more than 250 words) to be distributed to the NMHBA membership with the election materials and ballot.

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Please return to the NMHBA Elections Committee c/o Damian R. Lara, by mail, fax or email.

By mail:  NMHBA Board Nominations, c/o State Bar of New Mexico, P.O. Box 92860, Albuquerque, NM 87110

By fax:  Attn: NMHBA Board Nominations, (505) 828-3765

By email:  Damian.Lara@gmail.com, Subject: NMHBA Board Nominations

If you have questions regarding the nomination or election process, contact Mr. Damian R. Lara at: Damian.Lara@gmail.com

Nominations must be received by 12:00 noon on Wednesday, June 20, 2012.