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<br />. ~001360 <br /> <br />NACo 2006 Credentials (Voting) <br />Identification Form <br /> <br />WEB. <br /> <br />Please complete and return or fax this form by July 14, 2008 to: <br />NACo' Altn: Emily Landsman' 440 First SI. NW' Washington, DC 20001 <br />or Fax: (202) 393-2630 <br />or have the voting delgate(s) carry it with them to the conference and present it at the Credentials Desk. <br /> <br />Please type or print in block lellers. <br /> <br />County I Parish I Borough <br /> <br />State <br /> <br />ITJ <br /> <br /> <br /> <br />This form must be signed by the Chief Elected Official from your county. <br />Submissions without an appropriate signature will not be accepted. <br /> <br />Signature: <br />Board President I Chair I County Executive I Judge I Mayor signature required Date <br /> <br />Print name and title <br /> <br />U No state association pick-up. .Please read the state association pick-up section in "Credentials FAa." <br /> <br />U Check here if you wish to vote by proxy. If checked, list the county I parish I borough to cast your votes below. <br />Your county and your proxy rT1ust have at least one paid registration for NACo's Annual Conference. <br /> <br />County I Parish I Borough allow~d to cast my votes' <br /> <br /> <br />First Name of proxy county delegate <br /> <br />Last Name <br /> <br /> <br /> <br />. Please read the proxy section in "Credentials FAa" before filling out this section. <br /> <br />. <br /> <br />&-1 <br /> <br />. <br />