b"Please complete the following information about the person you have nominated to serve as an MRCA Director or Officer. Complete and accurate information will help the MRCA Nomination Committee in making its determination and will likewise assist your nominee in receiving appropriate consideration. Nominee - - - - - -Company Name _ _________ ____ ____________ _____Address City- - - - - - City:.__ _____ _ _____State:.______ _ ___ _ Zip: _zDescribe nominee's service to the roofing industry____ _______ _____ __ -0 Ii z -E 0 z aid - Ill u Submitted by - - -Company_________ ________ ________________ _Please forward completed data sheet to: Ray Haselton Union Roofing Company, Inc. Highway 66 & Division Street Chenoa, Illinois 61 726 9"