SMSA Chair Nomination Form
Term - August 2008 - August 2010

If you are interested in running or nominating another, please complete the form below.

Nominees and their biographies will be posted on the SMSA website for review prior to the 2008 SMSA Business Meeting.

Elections will take place during the 2008 Annual SMSA Business Meeting in Billings, Montana, Friday, August 15, 2008.

Name:  ___________________________________  Title:_________________________________________

Email address:  ____________________________  Phone: _______________________________________

Are you willing to make a commitment to a two-year term?  Yes _____  No _____

I have obtained advanced approval from my state to travel for SMSA business:  Yes _____  No _____

Please select one of the following:

_____ My state will cover travel expenses for SMSA business travel
_____ I will require reimbursement for SMSA business travel expenses

Please attach your biography outlining what you would bring to the SMSA if elected Chair.

If you are making a recommendation, please complete the following:

Nominee:  __________________________________________ Position:  ___________________________________

Mailing address:  ________________________________________________________________________________

______________________________________________________________________________________________

Email address:  _____________________________________ Phone:  _____________________________________

Why are you recommending this person for SMSA Chair?  _________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

How do you know the person you are recommending?  ___________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________

Please return completed form to the SMSA Business Office by mail, email or fax no later than Monday, June 30, 2008.

Mail to:
SMSA Business Office
7881 S. Wellington St.
Centennial, CO 80122-3193

Email:  smsabusinessmgr@smsa.org
Fax:  303-703-3569