IACR 2000 Election Nomination Form


Section I -- to be completed by nominator

I nominate _______________________________ for the position of IACR director.

Nominator:

__________________________________________             __________________________________________
             Name (print)                                                                             Signature

__________________________________________             __________________________________________
             Date                                                                                         Address

__________________________________________             __________________________________________
             Email                                                                                        Address

__________________________________________             __________________________________________
             Fax number                                                                               Address


Section II -- to be completed by nominee

I,  ___________________________________________________,  accept this nomination.
 

Candidate's statement (maximum 50 words): _________________________________________________________

___________________________________________________________________________________________
 
___________________________________________________________________________________________
 
___________________________________________________________________________________________

Optional items to appear only in electronic version of candidate statements

Nominee:

__________________________________________             __________________________________________
             Name (print)                                                                             Signature

__________________________________________             __________________________________________
             Date                                                                                         Address

__________________________________________             __________________________________________
             Email                                                                                        Address

__________________________________________             __________________________________________
             Fax number                                                                               Address


This form must be received by mail or fax by September 8, 2000.    Receipt will be acknowledged by email.
    Mail to Josh Benaloh; Microsoft Research; One Microsoft Way; Redmond, WA 98052.
    Fax to Josh Benaloh (name must be included) at 1-425-936-7329.