PETITION FORM FOR ELECTRONIC SIGNATURES For an e-mail to be considered a valid electronic signature, it must contain the header which includes the following information: • the sender’s e-mail address • the recipient’s e-mail address • date sent The text of the e-mail must contain ALL of the following: I, the undersigned member of the American Chemical Society, hereby nominate _________________________ for the office of _________________________ for the election being held in the year of _________ as a petition (candidate/nominee). Name: _________________________________ Local Section: ___________________________ ACS Member Number: ____________________