Special Ballot

Election 2004
November 3, 2004
Dennis Senior Center, Dennis, 7:00 PM

		           I am a candidate			          I wish to nominate*

  President		------------------------------------------		---------------------------------------------

  Vice-President	------------------------------------------		---------------------------------------------

  Treasurer		------------------------------------------		---------------------------------------------

  Secretary		------------------------------------------		---------------------------------------------

  Board of directors	------------------------------------------		---------------------------------------------

  (select up to five)

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						* Please note that it would be helpful

						if you checked with your selection to

						ensure that he/she is willing to serve.

  Ballot Questions

  #1.  To amend the by-laws moving the annual election to April	[ ] Yes - change date to April

						[ ] No - keep November date

  #2.  To move the monthly meeting location			[ ] Yes - organize committee and find new location

						[ ] No - pay fee and keep existing location

		Signature: ___________________________________________________________________

	Comments:

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