No Form number Walnut Mktng. Bd. Ballot Independent Handler Members & A

Walnut Marketing Board

°OMB NO. 0581-0178
0

I

154C)RIver Park Drive, Suite 203
Sacnrnento Ca 95815-4609
Ph (916) 922-5888 Fax (918) 923-2548

VOTINGoEJEADtlftE

BALLOT
WALNUTMARKETINGBOARD
ELECTION OF INDEPENDENT HANDLERMEMBERS AND ALTERNATES
VOTING INSTRUCTIONS
In accordance with the provisions of Section 984.37 of Marketing Order No. 984, as amended, I hereby vote for the
following members and alternates as representatives of independent handlers of the Walnut Marketing Board for
the two year term beginning July 1,

Independent walnut handlers may vote for two members and two alternates. Mark an .X" opposite your choice if
you wish to vote for the candidates listed.
Unes are provided if you wish to nominate qualifiedwalnut handlers who are not shown on the ballot Vote for only
two names In each column.
Your ballot will be Inval/dated If you vote for more than two persons for each position.

Member

---

_....

INDEPENDENT HANDLER NOMINEES
Vote
Alternate Member

Vote -

000

CERTIFICATION OF ELiGIBILITY- --"

I hereby certify that I am currently a qualified Independent walnut handler of walnuts and operated as
such a handler during the
marketing year.

Legal Name of Voting Entity

Address

Authorized Signature

State

City

PrintName

Zip

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