17
2014 ANNUAL BUSINESS MEETING AUGUST 9 & 10, 2014 BOWLING GREEN, KENTUCKY PLACE: HOLIDAY INN UNIVERSITY PLAZA HOTEL & SLOAN CONVENTION CENTER 1021 WILKINSON TRACE BOWLING GREEN, KY 42103 (EXIT #22 ON I-65 & Hwy 231 INTERCHANGE, west 2 miles to Stoplight #3 turn right (Wilkinson Trace) and hotel will be ahead on your left.) DATE & TIME: UBGF BOARD OF DIRECTORS MEETING – OPEN TO ALL UBGF MEMBERS – AUGUST 8, 2014 – 6:00 PM MEETING - AUGUST 9 TH , 8-5 (LOCAL TIME) BANQUET - AUGUST 9 TH 6:OO PM – BANQUET MEAL TICKETS MUST BE PRE- ORDERED BEFORE AUGUST 1 AWARDS PRESENTATION – AUGUST 9 TH 7:30 PM MEETING - AUGUST 10 TH , 8 – NOON ROOM RATES: $92 (13.42%TAX) A NIGHT (UP TO 4 PEOPLE PER ROOM) Room rate only gauranteed until July 8, 2014. AFTER THAT DATE THIS RATE MAY NOT BE HONORED!!!! BANQUET: All You Can Eat Buffet and Cash Bar $25.00 for Adults, $15.00 children 5-10, children 4 and under are free. After the dinner and prize give-away, there will be a time for you to enjoy music (karaoke) and dancing. HOTEL AMENITIES: 218 Rooms, large indoor pool, whirlpool, saunas, exercise room, game room, gift shop. RESERVATIONS: Call 1-270-745-0088 or (800)HOLIDAY. 60 rooms are blocked until July 8, 2014. Make your reservations today. FOR MORE INFORMATION, CONTACT Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, [email protected] THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT YOUR CLUB WOULD LIKE TO DONATE TO THE PRIZE GIVE-AWAY PORTION OF THE BANQUET. PLEASE SEND THEM WITH YOUR DELEGATE PROUDLY SPONSORED BY NESTLE PURINA AND TRI-TRONICS WINNERS PACK COLLARS PROVIDED BY OKIE DOG SUPPLY UNITED BEAGLE GUNDOG FEDERATION Club packets are available on the website www.ubgf.org

UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, [email protected] THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

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Page 1: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

2014 ANNUAL BUSINESS MEETING AUGUST 9 & 10, 2014

BOWLING GREEN, KENTUCKY

PLACE: HOLIDAY INN UNIVERSITY PLAZA HOTEL & SLOAN CONVENTION CENTER 1021 WILKINSON TRACE BOWLING GREEN, KY 42103 (EXIT #22 ON I-65 & Hwy 231 INTERCHANGE, west 2 miles to Stoplight #3 turn right (Wilkinson Trace) and hotel will be ahead on your left.) DATE & TIME: UBGF BOARD OF DIRECTORS MEETING – OPEN TO ALL UBGF MEMBERS – AUGUST 8, 2014 – 6:00 PM

MEETING - AUGUST 9TH, 8-5 (LOCAL TIME) BANQUET - AUGUST 9TH 6:OO PM – BANQUET MEAL TICKETS MUST BE PRE-ORDERED BEFORE AUGUST 1 AWARDS PRESENTATION – AUGUST 9TH 7:30 PM MEETING - AUGUST 10TH, 8 – NOON ROOM RATES: $92 (13.42%TAX) A NIGHT (UP TO 4 PEOPLE PER ROOM) Room rate only gauranteed until July 8, 2014. AFTER THAT DATE THIS RATE MAY NOT BE HONORED!!!! BANQUET: All You Can Eat Buffet and Cash Bar $25.00 for Adults, $15.00 children 5-10, children 4 and under are free. After the dinner and prize give-away, there will be a time for you to enjoy music (karaoke) and dancing. HOTEL AMENITIES: 218 Rooms, large indoor pool, whirlpool, saunas, exercise room, game room, gift shop. RESERVATIONS: Call 1-270-745-0088 or (800)HOLIDAY. 60 rooms are blocked until July 8, 2014. Make your reservations today.

FOR MORE INFORMATION, CONTACT Marj Roach, Corresponding Secretary

715-286-2768, 715-563-4459, [email protected] THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT YOUR CLUB WOULD LIKE TO DONATE TO THE PRIZE GIVE-AWAY PORTION OF THE BANQUET. PLEASE SEND THEM WITH YOUR DELEGATE

PROUDLY SPONSORED BY NESTLE PURINA AND TRI-TRONICS WINNERS PACK COLLARS PROVIDED BY OKIE DOG SUPPLY

UNITED BEAGLE GUNDOG FEDERATION

Club packets are available on the

website

www.ubgf.org

Page 2: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

June 1, 2014 Dear Club President, July 1, 2014 will mark the beginning of the 2014-2015 fiscal year for the United Beagle Gundog Federation. Membership dues are now due for the coming year. Please forward the following information to the Treasurer of your club. Please follow-up with your treasurer to ensure this letter is handled appropriately. The annual dues are $100.00 and are due June 30th, 2014. To ensure that your club retains their membership with the Federation and allows your club to retain voting privileges at this year's Annual Meeting, please remit your check or money order made out to the UBGF to our Treasurer, Lori Tews, N1509 Carcajou Road, Fort Atkinson, WI 53538. If your club should have any questions or problems regarding your dues, please don't hesitate to give me a call. In Beagling, Marj Roach Corresponding Secretary

UNITED BEAGLE GUNDOG FEDERATION

Marj Roach Corresponding Secretary

S12491 US Hwy 12. Augusta, WI 54722

(715)286-2768 E-mail:

[email protected]

Page 3: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

June 1, 2014 Dear Club President, July 1, 2014 will mark the beginning of the 2014-2015 fiscal year for the United Beagle Gundog Federation. Membership dues are now due for the coming year. Please forward the following information to the Treasurer of your club. Please follow-up with your treasurer to ensure this letter is handled appropriately. The annual dues are $100.00 and are due June 30th, 2014. To ensure that your club retains their membership with the Federation and allows your club to retain voting privileges at this year's Annual Meeting, please remit your check or money order made out to the UBGF to our Treasurer, Lori Tews, N1509 Carcajou Road, Fort Atkinson, WI 53538. If your club should have any questions or problems regarding your dues, please don't hesitate to give me a call. In Beagling, Marj Roach Corresponding Secretary

UNITED BEAGLE GUNDOG FEDERATION

Marj Roach Corresponding Secretary

S12491 US Hwy 12. Augusta, WI 54722

(715)286-2768 E-mail:

[email protected]

Page 4: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

June 1, 2014 Dear Club President, July 1, 2014 will mark the beginning of the 2014-2015 fiscal year for the United Beagle Gundog Federation. Membership dues are now due for the coming year. Please forward the following information to the Treasurer of your club. Please follow-up with your treasurer to ensure this letter is handled appropriately. The annual dues are $100.00 and are due June 30th, 2014. To ensure that your club retains their membership with the Federation and allows your club to retain voting privileges at this year's Annual Meeting, please remit your check or money order made out to the UBGF to our Treasurer, Lori Tews, N1509 Carcajou Road, Fort Atkinson, WI 53538. If your club should have any questions or problems regarding your dues, please don't hesitate to give me a call. In Beagling, Marj Roach Corresponding Secretary

UNITED BEAGLE GUNDOG FEDERATION

Marj Roach Corresponding Secretary

S12491 US Hwy 12. Augusta, WI 54722

(715)286-2768 E-mail:

[email protected]

Page 5: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

UNITED BEAGLE GUNDOG FEDERATION

MOTION FORM

Club making motion:____________________________________________ This is an addition/change to the: By-Laws_______ Running Rules_______ Specify present rule being changed/added to (Example: Article #, Section) _____________________________________________________________ Proposed Motion:_______________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Comments Pertaining to Motion Change:____________________________ _____________________________________________________________ _____________________________________________________________ Signatures:__________________________ _________________________ Club President Club Secretary *** A COPY OF THIS MOTION MUST BE SENT TO ALL CURRENT OFFICERS OF THE UNITED BEAGLE GUNDOG FEDERATION. PLEASE REFER TO THE LATEST EDITION OF THE FEDERATION DIRECTORY FOR CURRENT OFFICERS AND ADDRESSES.

Page 6: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

CHECKLIST FOR ANNUAL MEETING

__ 1. Credentials form with all appropriate signatures (including email address) __ 2. Hotel reservations made prior to July 8, 2014 to guarantee group rate. Banquet tickets have been ordered prior to August 1, 2014. __ 3. Dues have been mailed to the Treasurer (preferred) or brought to meeting. __ 4. Field judges forms have been filled out completely, signed by the applicant and will be turned in at check-in. __ 5. Conformation judges forms have been filled out completely, signed by the applicant and will be turned in at check-in. __ 6. AKC Field Judges forms have been filled out completely, signed by the applicant and will be turned in at check-in. __ 7. Field Trial Dates form has been completed and sent to Second Vice-President. Please bring a photo copy of this form to the annual meeting and submit at check-in. __ 8. If you have not done so yet this year, please provide the officer information sheet along with a copy of your club’s membership list. __ 9. If your club is willing, please consider bringing two door prizes for the banquet on Saturday night.

UNITED BEAGLE GUNDOG FEDERATION

Marj Roach Corresponding Secretary S12491 US Highway 12

Augusta, WI 54722 (715) 286-2768

E-mail [email protected]

Page 7: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

UBGF Club Listing 2014 Page 1 of 2

UNITED BEAGLE GUNDOG FEDERATION 2014 ANNUAL BUSINESS MEETING

OFFICERS LISTING

Name of Club __________________________________________________________

Please give the club location used for field trials:

Address: ____________________________________________________

City, State, ZIP _______________________________________________

President: Name : ___________________________________________________

Address: ____________________________________________________

City, State, ZIP _______________________________________________

Phone: _____________________________________________________

Cell Phone: __________________________________________________

Email: ______________________________________________________

Vice-President: Name: ________________________________________________

Address: ____________________________________________________

City, State, ZIP _______________________________________________

Phone: _____________________________________________________

Cell Phone: __________________________________________________

Email: ______________________________________________________

Secretary: Name: ___________________________________________________

Address: ____________________________________________________

City, State, ZIP _______________________________________________

Phone: _____________________________________________________

Cell Phone: __________________________________________________

Email: ______________________________________________________

Page 8: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

UBGF Club Listing 2014 Page 2 of 2

Club Name: ____________________________________________________________ (Please provide in case pages get separated)

Treasurer: Name: ___________________________________________________

Address: ____________________________________________________

City, State, ZIP _______________________________________________

Phone: _____________________________________________________

Cell Phone: __________________________________________________

Email: ______________________________________________________

Field Trial Secretary: Name: ____________________________________________

Address: ____________________________________________________

City, State, ZIP _______________________________________________

Phone: _____________________________________________________

Cell Phone: __________________________________________________

Email: ______________________________________________________

Field Trial Chairman: Name: ____________________________________________

Address: ____________________________________________________

City, State, ZIP _______________________________________________

Phone: _____________________________________________________

Cell Phone: __________________________________________________

Email: ______________________________________________________

Delegate: Name: _____________________________________________________

Address: ____________________________________________________

City, State, ZIP _______________________________________________

Phone: _____________________________________________________

Cell Phone: __________________________________________________

Email: ______________________________________________________

Page 9: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

APPLICATION FOR UBGF FIELD TRIAL DATES

Please provide UBGF Field Trial Dates from November 3, 2014 Through October 29, 2015 NAME OF CLUB:__________________________________________________________ REPRESENTATIVE:_______________________________________________________ ADDRESS:_______________________________________________________________ CITY/STATE/ZIP CODE:__________________________________PHONE#_____________ #1 CHB DATE:____________________________ #2 CHB DATE:_____________________ Check Boxes: Check boxes: License Trial ( ); Plan B ( ) License Trial ( ); Plan B ( ) 4 Classes ( ); 2 Classes ( ) 4 Classes ( ); 2 Classes ( ) #3 CHB DATE:__________________________ DERBY DATE: _____________________ Check Boxes: Check boxes: License Trial ( ); Plan B ( ) 4 Classes ( ); 2 Classes ( ) 4 Classes ( ); 2 Classes ( ) DERBY DATE: _____________________ Check boxes: 4 Classes ( ); 2 Classes ( ) TWO COUPLE PACK DATE(S):___________________________ Master Hunt Test (AKC) ( ) UBGF Qualif ier Only ( ) PLEASE LIST THE CLOSEST UBGF CLUBS that your club is likely to conflict field trial dates with: Club #1 – being the closest, etc. CLUB #1________________________________ CLUB #2__________________________________ CLUB #3_______________________________ CLUB #4__________________________________ Thanks for your cooperation!!! Please bring to Annual Meeting or mail to Second Vice-President at address above.

UNITED BEAGLE GUNDOG FEDERATION

Terry Brown 2nd Vice-President 536 Hinkle Road

Seymour, TN 37865 (865) 654-4756 E-mail: terry@

lowevalleykennel.com

Page 10: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

DATE: June 1, 2014 RE: 2014 U.B.G.F. Awards Banquet FROM: Marj Roach TO: U.B.G.F. Club Corresponding Officers/Delegates It has become necessary to preorder our banquet tickets prior to August 1, 2014. Please fill out the following information and send with your check or money order to the address above. ________________Adult Banquet Tickets @ $25 each $_______________________ Names of Attendees:______________________________ _________________________________ _______________________________ _________________________________ ________________Children Banquet Tickets @ $15 each $_______________________ Names of Attendees:_______________________________ ________________________________ Total Amount Enclosed $_______________________ Tickets must be ordered by mail prior to August 1.

UNITED BEAGLE GUNDOG FEDERATION

Marj Roach Corresponding Secretary

S12491 US Hwy 12 Augusta, WI 54722

(715) 286-2768 (715) 563-4459 (cell)

E-mail [email protected]

Page 11: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

FIELD JUDGE NOMINATION/INFORMATION FORM This information form must be completed, signed and presented at the Annual Meeting by the

voting delegate. This completed form will serve as authorized acceptance to the Federation by the nominee to act as a judge at a National Run-Off. Anyone completing this form needs to be prepared to serve a total of two days if the class is carried over to the following day, at any of our national events. Rushing the judging to complete the assignment in one day is not an acceptable completion of the judging assignment.

Name of Club submitting nomination: ______________________________________________________________ The following is to be completed by the individual being nominated: Name: _____________________________________________________________________________________ Address: ___________________________________________________________________________________ _____________________________________________________Phone: ( )____________________________ Name of U.B.G.F. club you are a member of: _______________________________________________________ Have you judged any previous National Run-Off's? Yes _______ No _______ When:______________ If yes, state whether you judged All-Age or Derby _______________________ Have you judged any Licensed Trials? Yes _______ No _______ If yes, how many?________________ Please indicate most recent license trial you judged and what year? ____________________________________ How many CHB and Derby Qualifiers have you judged? _____________________________________________ How many Sanctioned Trials have you judged? ____________________________________________________ Please give a brief statement on why you would like to judge a National event: ____________________________ __________________________________________________________________________________________ Which event would you like to judge? ____________________________________________________________ Which class(s) would you like to judge? 13" Female ____________ 15" Female ____________ 13" Male ______________ 15" Male ___________ Signature of nominee _________________________________________________Date: __________________

UNITED BEAGLE GUNDOG FEDERATION

Page 12: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

U.B.G.F. CONFORMATION JUDGE NOMINATION/INFORMATION FORM

This information form must be completed, signed and presented at the Annual Meeting by the voting delegate. This completed form will serve as authorized acceptance to the Federation by the nominee to act as a judge at a National Run-Off. Name of club submitting nomination:________________________________________ The following is to be completed by the individual being nominated: Name:_________________________________________________________________ Address:_______________________________________________________________ ______________________________________________________________________ Phone Number:__________________________________________________________ Name of U.B.G.F. club of which you are a member:_____________________________ Have you judged any previous National Run-Off's? Yes______ No ______ If yes, state whether you judged All-Age or Derby and year(s) judged:______________ Have you attended a U.B.G.F. Conformation Seminar? Yes_____ No _____ How many CHB and Derby Qualifiers have you judged in the last two years? _______ Are you now or have you ever been an AKC Licensed Show Judge? Yes____ No ____ If yes, please give a brief description of the breed and how long you've been involved with conformation shows. ______________________________________________________________________ ______________________________________________________________________ Comments:_____________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Signature__________________________ Date______________________________

Page 13: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

AKC NATIONAL SPO

FIELD JUDGE NOMINATION/INFORMATION FORM

This information form must be completed, signed and presented at the Annual Meeting by the voting delegate. This completed form will serve as authorized acceptance to the Federation by the nominee to act as a judge at the AKC SPO National Run-Off.

Name of Club submitting nomination: ______________________________________________________________ The following is to be completed by the individual being nominated: Name: _____________________________________________________________________________________ Address: ___________________________________________________________________________________ _____________________________________________________Phone: ( )____________________________ Name of U.B.G.F. club you are a member of: _______________________________________________________ Have you judged any previous National Run-Off's? Yes _______ No _______ Have you judged any Licensed Trials? Yes _______ No _______ If yes, how many?________________ Please indicate most recent license trial you judged and what year? ____________________________________ How many CHB and Derby Qualifiers have you judged? _____________________________________________ How many Sanctioned Trials have you judged? ____________________________________________________ Please give a brief statement on why you would like to judge a National event: ____________________________ __________________________________________________________________________________________ Signature of nominee _________________________________________________Date: _________________

UNITED BEAGLE GUNDOG FEDERATION

Page 14: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

UNITED BEAGLE GUNDOG FEDERATION

MOTION FORM

Club making motion:____________________________________________ This is an addition/change to the: By-Laws_______ Running Rules_______ Specify present rule being changed/added to (Example: Article #, Section) _____________________________________________________________ Proposed Motion:_______________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Comments Pertaining to Motion Change:____________________________ _____________________________________________________________ _____________________________________________________________ Signatures:__________________________ _________________________ Club President Club Secretary *** A COPY OF THIS MOTION MUST BE SENT TO ALL CURRENT OFFICERS OF THE UNITED BEAGLE GUNDOG FEDERATION. PLEASE REFER TO THE LATEST EDITION OF THE FEDERATION DIRECTORY FOR CURRENT OFFICERS AND ADDRESSES.

Southeastern Indiana Beagle Club

X

Running rules for the Two Couple Pack National

!!!!!!!!!!!!!!!!!!!!!!All!Master!Hunters!are!qualified!hounds!and!can!therefore!be!used!instead!of!any!hound!in!a!qualified!pack!and!it!will!not!be!considered!as!the!subs:tute.!!Examples:!!If!a!pack!consis:ng!of!hounds!A,!B,!C,!D!was!qualified!at!a!qualifying!trial,!the!packs!consis:ng!of!A,!B,!MH,!and!a!Sub,!or!A,!B,!MH,!MH!may!be!entered!in!the!UBGF!2CP!Na:onals.!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!Since!this!pack!was!qualified!at!a!qualifying!trial,!this!would!not!effect!the!number!of!pack!a!the!local!level!or!the!money!to!the!UBGF

Larry Lyon John Stuckwisch

Page 15: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …
Page 16: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …
Page 17: UNITED BEAGLE GUNDOG FEDERATION · Marj Roach, Corresponding Secretary 715-286-2768, 715-563-4459, marj12491r@execpc.com THE U.B.G.F. WOULD WELCOME ANY PRIZE DONATIONS THAT …

-UNITED BEAGLE GUNDOG FEDERATION

2014 ANNUAL BUSINESS MEETING

CREDENTIALS

Name of Club:_________________________________________________ President's Signature:____________________________________________ Secretary's Signature:____________________________________________ 1. Verification of credentials for the following club representative:

Official Delegate:____________________________________________ Official Observer:____________________________________________ Official Observer:____________________________________________

2. Nominations for U.B.G.F. Board of Director positions. Acceptance signature is required if nominee will not be present at the meeting.

NOMINEE FOR PRESIDENT:_________________________________________ Acceptance signature:_________________________________________________ NOMINEE FOR FIRST VICE-PRESIDENT:____________________________ Acceptance signature:_________________________________________________ NOMINEE FOR RECORDING SECRETARY:____________________________ Acceptance signature:_________________________________________________ NOMINEE FOR CORRESPONDING SECRETARY::_______________________ Acceptance signature:_________________________________________________ NOMINEE FOR RECORDS COORDINATOR:___________________________ Acceptance signature:__________________________________________________ ********************************************************************** ********************************************************************** NOTE: THIS FORM MUST ACCOMPANY YOUR DELEGATE TO THE

ANNUAL MEETING OR MAY BE SENT IN TO MARJ ROACH.