National Sporting Clays Association National Delegate Nomination Form

CLM and Crossfire members are not eligible to nominate, endorse a candidate, or vote. Forms must be received at Headquarters no later than midnight CDT, July 22, 2017.

I, ______(please print) wish to submit my name for election as a National Delegate position representing the state of ______for the 2018-2019 term of office that will begin January 1, 2018 and end December 31, 2019. If elected, I agree to fulfill my duties as a National Delegate which will include (but are not limited to) voting (by mail or email) on all changes made to rules, classification and any other issues pertinent to the governance of NSCA. I also agree to make every effort to attend the National Delegates’ meeting held annually at the National Championship.

I understand that my candidacy must be endorsed by five members in good standing of the state in which I reside and will represent, and that I must maintain my membership throughout my term. Following are the signatures, printed names and membership numbers of five current members of my state, all of whom approve my nomination.

______Candidate’s Signature NSCA #

______Signature of Endorser Print Name NSCA #

______Signature of Endorser Print Name NSCA #

______Signature of Endorser Print Name NSCA #

______Signature of Endorser Print Name NSCA #

______Signature of Endorser Print Name NSCA #

Return to: Glynne Moseley [email protected] Fax: 210-688-3014