IACR 2002 Election Nomination Form

Section 1 --- to be completed by nominator ---

I nominate _______________________________ for the position of IACR _________________ .

Nominator:

__________________________________________	__________________________________________
Name (print)	Signature
__________________________________________	__________________________________________
Date	Address
__________________________________________	__________________________________________
Email	Address
__________________________________________	__________________________________________
Fax	Address

Section 2 --- to be completed by nominee ---

I, ___________________________________________________, accept this nomination.

Candidate's statement (max. 50 words, may also be sent by email to desmedt@cs.fsu.edu):
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________

Optional items to appear only in the electronic version of candidate statements (may also be sent by email to desmedt@cs.fsu.edu):

URL for longer candidate statement http://__________________________________________________
URL for candidate home page http://__________________________________________________

Nominee:

__________________________________________	__________________________________________
Name (print)	Signature
__________________________________________	__________________________________________
Date	Address
__________________________________________	__________________________________________
Email	Address
__________________________________________	__________________________________________
Fax	Address

This form must be received by mail or fax by September 16, 2002 at the address below. Receipt will be acknowledged by email.

Yvo Desmedt
Department of Computer Science
PO Box 4530
253 Love Building
Florida State University
Tallahassee, FL 32306-4530

For courier service add: Palmetto Drive

Fax: +1 (850) 644-0058

(Previous versions of this document listed Tom Berson's address here, but this supersedes all previous versions.)