GENERAL MEMBER VOTING FORM

Please read all application information found at voting for 2020 NRHSN Executive Committee prior to submitting your vote.

General Member Vote
- SUBMIT YOUR VOTE USING THIS FORM
- All Rural Health Club/NRHSN general members are entitled to one vote using this form
- If you are a council member, please see below:

NRHSN Council Vote
- DO NOT SUBMIT YOUR VOTE USING THIS FORM (if you are a council member voting with this form, your vote will not be counted)
- NRHSN Council votes to be submitted via the following link: www.surveymonkey.com/r/CouncilVote20

Voting closes 5pm AEST Sunday 20 October 2019.

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 5. Are you a Council Member?

T