ATSNJ Nomination Form

Executive Council Member

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All nominees must be current ATSNJ members in good standing.  Your form will be sent electronically to the Nominations Committee

Nominee Information:

OFFICE:	President-Elect Central Rep Treasurer
NAME OF NOMINEE
WORK ADDRESS
WORK PHONE

 

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Nomination Submitted by:

NAME:
WORK ADDRESS
WORK PHONE
TODAY'S DATE