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APPLICATION FOR NOMINATION TO THE MAIN STREET HAMPTON BOARD

  1. city Logo (Transparent)
  2. mainstreet logo (cropped)
  3. main street hampton Address
  4. APPLICATION FOR NOMINATION TO THE MAIN STREET HAMPTON BOARD
  5. Basic Information:
  6. Are you the Owner?
  7. About Yourself:
  8. I am (check all that apply):
  9. My involvement in the community is as follows:
  10. I will allow my name to be submitted for consideration in service to the Organization: and if appointed to serve as a member of the Board of Directors, I agree to:
  11. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  12. Leave This Blank:

  13. This field is not part of the form submission.