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Declaration of PNA Candidacy

Palisades Neighborhood Association

Declaration for Candidacy

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Name:    _____________________________________

Address: ____________________________________

Ph:          _________________

e-mail:    _________________

 

Area to Represent:  Area ____

 

List & signature of 5 neighbors who endorse your candidacy residing in your Area:

(1)                Name:___________________________

Address: _________________________

Signature: ________________________

 

(2)                Name:___________________________

Address: _________________________

Signature: ________________________

 

(3)                Name:___________________________

Address: _________________________

Signature: ________________________

 

(4)                Name:___________________________

Address: _________________________

Signature: ________________________

 

(5)                Name:___________________________

Address: _________________________

Signature: ________________________

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