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Chapter/Regional Board Nomination/Volunteer Form

I am nominating:*MyselfAnother Individual

If you are nominating another individual, provide YOUR name:

Your Email*

Nominee First Name*

Nominee Last Name*

Nominee Phone

Nominee Email

Position you are interested in:

Chapter/Region:

Nominee's qualifications for this position:

If you are interested in serving in a chair position or be on a committee, or if you have any questions, please email nominations@newh.org

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NEWH, Inc.
P.O. Box 322
Shawano, WI 54166
800.593.NEWH (6394) phone
800.693.NEWH (6394) fax