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Nominee's
Name:
_____________________________________________
Title: ___________________________________________________
Employer: ___________________________________________________
Type
of Business or Organization: ________________________________
Mailing
Address: ______________________________________________
City,
State, Zip: _______________________________________________
Phone:
__________________________ Fax: _______________________
If
you are nominating yourself, please attach the requested
information as
indicated on the back of this form.
If
you are nominating another individual, have you informed the
nominee of his/her nomination? ___________
How
long have you know this nominee?___________________________
Your
Name: ___________________________________________________
Title/Employer::__________________________________________________
Phone:
________________________ Fax: ________________________
Return
To: Jeannie McCall,
SPHR – President, HR
Florida 2002
C/O TECO, Tampa Electric Co. 702
N. Franklin Street Tampa, FL 33602
or president@hrflorida.org
Phone: (813)
228-4638 Fax:
(813) 228-4644 |