Co-operative Board Election Voting Form
Submit your vote for the upcoming co-operative board election. Please ensure your information is accurate to validate your vote.
Full Name
*
First Name
Last Name
Membership Number
*
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Confirm your current membership status
*
I am a current member in good standing
I am not a current member
Select your candidate(s) for the Board of Directors
*
Candidate A
Candidate B
Candidate C
Other (write-in candidate)
For write-in candidate(s), please specify the name(s) below
Please rate your confidence in the election process
1
2
3
4
5
Do you have any comments or feedback regarding the election?
Signature (please sign to validate your vote)
*
Submit Vote
Submit Vote
Should be Empty: