MSRB NOTICE ()

NOMPAGE3_2008

Municipal Securities Rulemaking Board

 

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Recommendation Form

 

 

1. Individual Recommended:� _________________________________________________________________

 

��� Business Address:� _________________________������ Home Address: _______________________________

��� _________________________________________��� _____________________________________________

��� _________________________________________��� _____________________________________________

��� Telephone Number:� ________________________����� Telephone Number:��___________________________

 

��� Category:��� Bank Dealer Representative�������� Securities Firm Representative����� Public Member

2. Educational and Professional Background

��� Professional:� ____________________________________________________________________________

��� _______________________________________________________________________________________

��� _______________________________________________________________________________________

��� Educational: ��____________________________________________________________________________

��� ________________________________________________________________________________________

��� ________________________________________________________________________________________

��� Associations: �____________________________________________________________________________

��� ________________________________________________________________________________________

��� ________________________________________________________________________________________

3. Proposer:� _______________________________________________________________________________

��� ________________________________________________________________________________________

��� ________________________________________________________________________________________

4. Associated Person under Securities Exchange Act of 1934: ��_______________________________________

��� ________________________________________________________________________________________