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2016 AL State Nurses Association Annual Convention

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<strong>2016</strong> Alabama <strong>State</strong> <strong>Nurses</strong> <strong>Association</strong> <strong>Annual</strong> <strong>Convention</strong><br />

AVAILABLE POSITIONS FOR THE 2017 B<strong>AL</strong>LOT<br />

If you are willing to have your name placed on the ballot for any of the offices listed below, please fill out<br />

this form and leave it at the <strong>Convention</strong> Registration Desk, or mail to: Alabama <strong>State</strong> <strong>Nurses</strong> <strong>Association</strong>,<br />

360 North Hull Street, Montgomery, <strong>AL</strong>A 36104-3658.<br />

[ ] Vice President<br />

[ ] Secretary<br />

[ ] Commission on Professional Issues (4 needed)<br />

[ ] Nominations Committee (2 needed, Districts 4 and 5)<br />

Name_____________________________________________________________ District #______________<br />

Address____________________________________________ Phone: (w)______________________________<br />

_________________________________________________ Phone: (h)______________________________<br />

_________________________________________________ E-mail_________________________________<br />

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