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| Individual Submitting Nomination: |
| Name: |
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| Email: |
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Nominee Information:
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| Name: |
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| Rank: |
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| Service: |
USA USN |
Member Status with AAMA Member CAAMA FAAMA CFAAMA Diplomate |
Organization/Command now serving with: |
| Address: |
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| City: State: |
| Zip: Country: |
| Phone: Fax: |
| Email:
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| Write up information – 150 words or less. This write up can be background information about the nominee or what the nominee would do as the Service Representative – this write up will be provided with the voting ballot.
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You may also print out this form, complete it and fax it to Larry Parsons, Chair of the Federal Sector Nomination Committee at (210) 536-3509.
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