DETROIT TELUGU ASSOCIATION

NOMINATION FORM

FOR

2013 EXECUTIVE COMMITTEE

To:

The General Secretary

Detroit Telugu Association

Michigan

Subject: Nomination for ______Position, Detroit Telugu Association.

I, ______, am interested in serving the Detroit Telugu Community as ______for the year 2013. I fully consent that I will serve the full term of the position and keep up the DTA values. Enclosed is my check made payable to DTA for: $150/$300 (Please see applicability below).

Thank you.

(Signature)

Address:

Phone: Email:

Nominated By: Seconded By:Seconded By:

______

Signature Signature Signature

______

Print Name Print Name Print Name

(Note: See Page-2 for instructions and important dates)

1. Please include a check made payable to "DTA" for $150 for all positions except Youth Members and Members-at-Large and a check for $300 for Vice-President/President-Elect position.

2. Nomination fee is not required for the Youth Members and Members-at-Large positions. Preference shall be given to graduating high school seniors for the Youth Members.

3. Nomination fee will not be refunded to if there are elections for any position.

4. Nomination must be submitted by 11:59 P.M. on August30th, 2012 using one of the following two methods. Please note that any nomination received after this time (even if the postmark date is on or before this date) will not be accepted.

Method 1: Complete the nomination form with all the requirements and email a scanned copy to . The check payable to DTA should be delivered or mailed to the General Secretary on or before 08/30/2012.

Sunil Pantra

General Secretary, Detroit Telugu Association

35920 S Valley Ct, Apt # 210 Farmington Hills, Michigan 48335

Method 2: Complete the nomination form with all the requirements along with a check and mail or deliver to the General Secretary on or before 08/30/2012 at the following address.

Sunil Pantra

General Secretary, Detroit Telugu Association

35920 S Valley Ct, Apt # 210 Farmington Hills, Michigan 48335

6. You must have paid your membership dues for 2012 by June 30, 2012andalso be a member during 2011or be a life member/life sponsor by June 30, 2012 in order to be eligible to be nominated for any DTA position. You must be nominated by a member and seconded by two other members as specified in the DTA bylaws.

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