Name of the nominated candidate:

Please consider this person for the following position(s):

President-Elect  Vice President  Secretary  Nominating Committee       Treasurer (The current Treasurer's term will end in 2009)

What is the nominated candidate's daytime phone number?

What is the nominated candidate's email address?

Please indicate the type of nomination:

This is a self-nomination. I have contacted the person nominated and s/he agrees to be considered for      the GAHIMA ballot. I am nominating this individual and have not obtained his/her consent for      nomination.

Why do you believe this candidate would be good in this position?

What is your name?

What is your daytime phone number?

What is your email address?