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PRODUCER GROUP NOMINATION FORM
If you wish to stand for election to NPA Producer Group please complete the nomination form below
Your nomination form must be received by January 8, 2018

CANDIDATE DETAILS
Your NPA membership number
(Contact Andrea Vickers if you don't know it)

NPA Region of farming and residence
Your name
Your address, including postcode
Your email
Your phone number(s)
Your date of birth
Your herd size
I have read and understood the Election Rules
and agree to abide by these rules
(Please tick)
SUPPORTING MEMBERS
(Your nomination needs to be supported by two current NPA producer members)
CONTACT DETAILS FOR SUPPORTING MEMBER 1
Name of supporting member
Postcode of supporting member
Contact number of supporting member
Email of supporting member
CONTACT DETAILS FOR SUPPORTING MEMBER 2
Name of supporting member
Postcode of supporting member
Contact number of supporting member
Email of supporting member
SEND YOUR NOMINATION FORM
• After you press Submit, we'll remind you to complete your nomination by sending a 150-word election address, to: sacomms@icloud.com



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