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2020 Greater Atlanta APIC Chapter Board of Directors Elections

2019 Greater Atlanta APIC Board of Directors Election

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* 1. Please complete the following information to complete your ballot.

Name:

Facility Name:

APIC National Member Number

Email Address:

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* 2. Please select one candidate for the Position of President-Elect:

Shalom Patel, MPH, CPH, CIC

If other, please specify below:

Shalom Patel

Other (please specify)

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* 3. Please select one candidate for the position of Treasurer:

Meri Pearson, MPH, CIC

Other: Please specify

Meri Pearson

Other (please specify)

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* 4. If other, please specify below:

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* 5. Please electronically sign below to certify that your ballot is complete, and that you verify the information in this ballot is factual.

Full Name (Electronic Signature)

Date: