\ ETBA Nomination Form

The East Tennessee Biomedical Association

The Medical Technology Association and Resource for Hospitals
and the Health Care Community



ETBA Board Member Nomination Form
Year 2004 

  FIELDS MARKED WITH * ARE REQUIRED!
  
  *ETBA Member Name (your name)              
  
  *ETBA Member Email (your email address)    
  
  * I nominate                               
  
  * For the office of
  -     President
  -     Vice President 
  -     Secretary
  -     Treasurer
  -     Program Director
  -     Newsletter Editor
 
  I have checked with my nominee and he/she has agreed to serve

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This page was Last Modified onThursday, June 22, 2006 at 06:26:28 AM MDT

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