2012 Letter of Intent Form

2012-2013 Council of Regents Election
Letter of Intent
Regent Area:
Candidate Name:
Title:
Organization:
Business Address:
Business Phone:
Email:
Fax:
By submitting my name to run in the 2012-2013 Council of Regents Election I accept that I will abide by
ACHE’s Bylaws, Code of Ethics, Regulations and other rules relating directly to the election process.
Signature: ____________________________________________________________________________
Date: ___________________________________________
Please return this Letter of Intent to elect[email protected] by August 31, 2012 or via certified letter
postmarked by August 31, 2012 to:
Jennifer L. Connelly
ACHE
1 N. Franklin St, Suite 1700
Chicago, IL 60606-3529
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