DIOCESE OF NEWARK 127th ANNUAL CONVENTION LATE NOMINATION FORM FOR USE AFTER NOVEMBER 30, 2000 Submission Deadline: 12 noon - Friday, January 12, 2001 NOMINATIONS RECEIVED POSTMARKED NOT LATER THAN DECEMBER 1, 2000 WILL BE INCLUDED IN THE PRE-CONVENTION MAILING.  SUBMIT BY DECEMBER 1, 2000, FOR INCLUSION IN THE CONVENTION ISSUE OF THE VOICE. ANY FIVE DEPUTIES TO CONVENTION MAY NOMINATE A CANDIDATE TO OFFICE. Please type or block print in BLACK ink NAME: __________________________________TEL. NO:  work________________ home_______________ (Titles will not be used in pre-convention materials.) ADDRESS________________________________________________________________________________ CHURCH AFFILIATION____________________________________________________________________ I would like to be considered for: _______________________________________________________________ EXPERIENCE     Congregation         Diocese         Other   STATEMENT (Longer statements will be limited to the first 20 words.)     Signed________________________________________Church/Town________________________________ Signed________________________________________Church/Town________________________________ Signed________________________________________Church/Town________________________________ Signed________________________________________Church/Town________________________________ Signed________________________________________Church/Town________________________________ Please return to Secretary of Convention, Episcopal Diocese of Newark, 31 Mulberry Street, Newark, New Jersey 07102

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