POSTAL BALLOT PAPER tech comm by 4dpmLz

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									NISA

                                                             POSTAL BALLOT PAPER – NISA TECHNICAL COMMITTEES

Ballot papers will not be accepted if the correct membership number is not provided and an original signature of the member included on the ballot
form. To vote please place an X in the relevant box(es). There are no proxy votes for election of Board Directors and Technical Committee
positions

I, member (block capitals) …………………………………………………………NISA Membership No: ……………………...............................

Of (address) ………………………………………………………………… ......... OR on behalf of ....................................................................Affiliated
Club/Association (paper must be signed by a recognised official registered with NISA of the Affiliated Club/Association (Chairman or Secretary only)

Signed........................................................................................................ Date................................................................................................
    I can confirm that I meet the NISA requirements to vote as detailed under Article 3(c) or 3(d) and General Rule 1, 2, 3 and 4
Please tick appropriate box                        Life Member                   Full Annual Member

I am voting as the Chairman/Secretary of the Affiliated Club/Association                                                                     (Article 9(d)iii and 9(d)iv)

Preferred Discipline (s) (Tick as applicable) Singles/Pairs                                          Short Track                       Synchro                Dance

This ballot paper must be returned to the address below to arrive no later than 12:00 noon on Friday 18th May 2012.


GUIDANCE: You may cast a maximum of 5 (five) votes in total to elect candidates to the NISA Technical Committee(s) of your choice. Your five votes
may be cast across all/any Technical Committees in any combination. For instance you may choose to cast all five votes for candidates within one
Technical Committee only, or spread your five votes across your preferred candidates in two, three, four or all five of the Technical Committees.

You do not have to use all of your 5 votes, however if you cast more than 5 votes in total your Ballot Paper will be void.

I wish to place my votes for the following candidates who have offered themselves for election to the NISA Technical Committees.

SINGLES/PAIRS TECHNICAL COMMITTEE                                                                    SHORT TRACK TECHNICAL COMMITTEE

Mary Chapman                                                                                         Gordon Barnes
Ann Findlay                                                                                          Ian Gooch
Liz Littler                                                                                          Tina Noble
Maggie Worsfold                                                                                      Ken Pendrey


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NISA


                                                     POSTAL BALLOT PAPER – NISA TECHNICAL COMMITTEES (Cont’d)

Ballot papers will not be accepted if the correct membership number is not provided and an original signature of the member included on t he ballot
form. To vote please place an X in the relevant box(es)There are no proxy votes for Board Directors and Technical Committee positions

I, member (block capitals) …………………………………………………………NISA Membership No: ……………………...............................

Of (address) ……………………………………………………………………………….............................................................................................
Signed........................................................................................................ Date................................................................................................

SYNCHRONIZED TECHICAL COMMITTEE                                                                     COACHING TECHNICAL COMMITTEE

Noel Grimshaw                                                                                       Tara Fehilly
                                                                                                    Alice Fell
                                                                                                    Kevin Marshall
                                                                                                    Marika Humphreys-Baranova

ICE DANCE TECHNICAL COMMITTEE

Stephen Fernandez
Noel Grimshaw
Hilary Selby
Alistair Wilson


FORMS SHOULD BE RETURNED TO:
SIMON BATES
HARVEY INGRAM SOLICITORS
20 NEW WALK
LEICESTER
LE1 6TX

TO ARRIVE NO LATER THAN 12.00 NOON ON FRIDAY 18TH MAY 2012.

PLEASE NOTE THAT THERE IS NO FREEPOST FACILITY AND THE CORRECT POSTAGE MUST BE AFFIXED TO THE ENVELOPE
TO ENSURE RECEIPT BY THE SOLICITORS
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