NOMINATION PAPER FOR THE ELECTION OF A DIRECTOR OR OF THE PRESIDENT
We, the undersigned, dispensing opticians having our principal domicile in the ______________________________ region, nominate ______________________________ for the office of director (or president, as the case may be).
In withness whereof we have signed in ______________________________ this ____________________ day of ____________________ 20__________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Signatures
I ______________________________, nominated on the above nomination paper, accept the nomination and solemnly declare that my present conduct is not incompatible with the carrying out of the duties assigned to the board of directors under section 62 of the Professional Code (chapter C-26).
In witness whereof, I have signed in ______________________________ this ____________________ day of ____________________ 20__________
_______________________________________
Signature