To: nominations@kellyn.com
From:  [required-email]
Subject:  Nominating Committee Questionnaire

Name:			[required-name]
Street:			[required-street]
City, State, Zip:	[required-location]
E-Mail:			[required-email]
Phone Number:		[required-phone]
Fax Number:		[fax]
Willing to serve:	[serve]
What position would you consider?
	President: [President]
	Vice President: [VicePresident]
	Treasurer: [Treasurer]
	Recording Secretary: [RecordingSecretary]
	Corresponding Secretary: [CorrespondingSecretary]
	Board Member: [BoardMember]
Experience on LRCGD Board: [experience]
Additional Comments:	[comments]