Designation Form for Ex Officio Trustees of the American Printing House for the Blind, Inc.

This document designates an Ex Officio Trustee of the American Printing House for the Blind for the purposes of administering the Act to Promote the Education of the Blind. This designation will remain in effect until further written notice is presented to the American Printing House for the Blind. This form must be submitted as a signed hard copy, it cannot be submitted electronically.

Signature of New Ex Officio Trustee: __________________________________________

Signature of Appointing Officer: _____________________________________

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