OMB No. 0581-0093
NOMINEE’S AGREEMENT TO SERVE
If appointed, I agree to serve on the _____________(Board), and to disclose any relationship with any ____promotion entity or any organization that has a contractual relationship with the Board.
___________________________________ _____________________
Signature Date
(Rev. 04/17) Destroy previous editions.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Josselyn, Barbara - AMS |
| File Modified | 0000-00-00 |
| File Created | 2021-01-20 |