Name of County Extension Council
Street Address
City, State. Zip
123-456-7890
123-456-7890
E-MAIL name@missouri.edu
WEB extension.missouri.edu
PHONE
FAX
Date
Votes for members of the University of Missouri Extension council of
(place designated to return ballots) office by
month, date, year).
County must be in
a.m./p.m. on
(day,
The ballots for this election, together with voting instructions, were mailed to eligible voters within the
County on
, 19
. Those who have not returned their ballot should do so on
or before
, which is the final date on which ballots will be accepted.
Ballots may be returned by mail. To complete a ballot put an X in the square by the name of the nominee of
your choice in the district in which you live. Only citizens of voting age living with the district are eligible to
vote.
Any eligible voters who did not receive a ballot may secure one from
from whom ballots may be obtained, council members, county extension offices, etc.).
(where or
The council members nominated for each district are:
Nominee
Length of term
District
(List the names of all nominees, the length of term to serve and the district they will represent.)
University of Missouri, Lincoln University, U.S. Department of Agriculture and Local Extension Councils Cooperating
EQUAL OPPORTUNITY/ADA INSTITUTIONS