GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE SUPERVISOR OF ELECTIONS APPOINTMENT Caroline F. Fawkes Supervisor of Elections Election System of the Virgin Islands P.O. Box 1499 Kingshill, St. Croix Virgin Islands 00851-1499 Dear Supervisor Fawkes: I, Candidate/ Chairman Name recommend the appointment of to the position for the Name of Appointee . Name of Political Organization Effective on and after . Date Sincerely, Candidate/Chairman