Nominator:
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Name (print)
Signature
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__________________________________________
Date
Address
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__________________________________________
Email
Address
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__________________________________________
Fax number
Address
I, ___________________________________________________,
accept this nomination.
Candidate's statement (maximum 50 words): _________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Optional items to appear only in electronic version of candidate statements
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__________________________________________
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.