917-Peach Commodity Committee Nomination Ballot (CTFA)

REPRODUCE LOCALLY. Include form number and date on all reproductions. OMB No. 0581-0189

CALIFORNIA TREE FRUIT AGREEMENT

PO Box 968

Reedley, CA 93654-0968

Phone: (559) 638-8260

PEACH COMMODITY COMMITTEE

BALLOT

District: _____________________________

District __________ consists of _____________________________________ County(ies), and is represented by _________ members and ___________ alternates.

The candidates listed below are running for ___________ member positions and __________ alternate positions (2-year terms ending ______________________, 20___ to represent District _____________ on the Peach Commodity Committee. Please vote for ____________ of the listed candidates, and/or write in a candidate of your choice for the member positions only. The candidates receiving the next highest votes will be designated as the alternate positions.

Please return your completed Ballot to the California Tree Fruit Agreement at the address above in the envelope provided, no later than _________________________, 20___, in order to be counted.

Vote for __________ candidates

Candidates:

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Write-in Candidates:

Name		Phone Number
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NOTE: Only producers of peaches in District _______________ may vote. Producers are entitled to one vote. If a producer produces in more than one district, the producer may choose to vote for nominees in another district, provided that the producer does not vote more than once. Please call ___________________ at (559) 638-8260 to exchange district Ballots. The Ballot is invalid if not signed

This portion of the Ballot will be detached prior to Ballot tallying.

By signing this Ballot, I certify that I am authorized to vote on behalf of an eligible voting entity.

______________________________________ _______________________________________

Name (please print) Name of Peach Producing Entity

______________________________________ _______________________________________

Signature Nectarine Peach County(ies)

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To file a complaint of discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal opportunity provider and employer.

Rev. 07/10. Destroy previous editions.