DONALD JAMES LOVE, II FOUNDATION APPLICATION

Recommending parties should fill out the application below.

Nominator, please provide your contact information and letter of support:     *denotes required fields
*Name:
*Address:
*City:
*Province/State:
*Zip Code:
*Phone:
E-mail:
Nominator, please provide the contact information of your nominee:     *denotes required fields
*Name:
*Address:
*City:
*Province/State:
*Zip Code:
*Phone:
E-mail:
*Age:
*Nominator, tell us why you have chosen to support this candidate: