VOG Independent Candidate Nomination Form

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Use this form to nominate someone you think would make a great independent candidate for Goldstein or to express interest in being a candidate yourself. If you are nominating yourself, we will call you shortly to discuss the next steps in the process with you. If you are nominating someone else, we will look into that person and may call you for more information or an introduction where appropriate.

PLEASE NOTE - ALL NOMINATIONS ARE KEPT STRICTLY CONFIDENTIAL. ONLY TWO PEOPLE FROM VOICES OF GOLDSTEIN WILL EVER KNOW WHO HAS BEEN NOMINATED OR EXPRESSED INTEREST.

Your Name *

Your email *

Your phone number *

Name of the person you are nominating *

Your relationship to the person you are nominating? *

I am the person

I know the person

I don't know the person

Does the person you are nominating live in, or have a tangible connection to, Goldstein? *

Yes

I don't know

Why do you think this person would make a good independent candidate for Goldstein? *

Submit

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