Nomination Form
I want to run for an open seat on the Board of Directors.

Member Name:*
Village Address:*
E-Mail Address:
Phone Number:*
Alternate Phone:
Biographical Information (attach additional information if you wish):*
I hereby certify that I own property in Country Club Village. the assessments on my property are current, there is no outstanding violation from the Association against my property, and that I understand that I am responsible for the accuracy of the biographical information provided above.
I certify the above statements:
I also understand and agree that, if I am elected, within 90 days after taking office I will complete certain work to satisfy State requirements as shown on the Homeowner Association Board Member Certification Form.
I certify the above statements:

* indicates required field