Scleroderma Society of Canada

Nomination Form

To nominate someone to the Board of Directors at the AGM
please fill in and submit, mail or fax this form.
For more information on the AGM, please see News
Annual General Meeting
September 18, 2004
Richmond, BC
Nomination(s) for the position(s) indicated below for the Board of Directors, to be elected at
the Annual General Meeting (AGM) of the Scleroderma Society of Canada, September 18, 2004.

President

Vice-President

Secretary-Treasurer

Director-at-Large

Director-at-Large

Director-at-Large

Director-at-Large



Submitted by:


I have contacted the person(s) being nominated and they agree to this nomination.
Yes No

Comments:



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� Scleroderma Society of Canada, Nomination Form, 2003 - 2004.
 Last Update: rdg - Feb 08/04 - Email: [email protected]
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