nominate

about the nominee

Please complete the form to the best of your ability. Any nominations that do not meet the required criteria will not be considered.

All nominees should be aware that they are being nominated for the DHT board.

The Nominee:

NOMINEE'S FULL NAME

NOMINEE'S BUSINESS NAME

NOMINEE'S ADDRESS

NOMINEE'S BUSINESS ADDRESS

CITY

ZIPCODE

NOMINEE'S PRESENT OCCUPATION

NOMINEE'S BEST CONTACT NUMBER

NOMINEE'S EMAIL

Major strength(s) warranting nomination:

Contact details for the person or organization submitting the nomination:

NAME OF REFERRING PERSON OR ORGANIZATION

PHONE

ADDRESS

ALTERNATE PHONE

City

ZIPCODE