Independent Board Member Application
To submit your name for consideration as an Independent Board Member, please complete all questions.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Cellular Number
*
Where is your milk shipped to:
*
Contact Number for verification:
*
Please let us know why you would like to be considered to serve on the American Dairy Association North East Board of Directors:
*
Signature
*
Clear
Signature Date
-
Month
-
Day
Year
Date
Completed applications must be submitted by 11:59 p.m. on October 31, 2023.
Apply for Consideration
Should be Empty: