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Complete this form and return via "the submit button below", or mail, or fax.
NOTE: Your volunteer registration will be acknowledged upon receipt. Committee assignments are made once a year prior to the Annual Meeting in October for all committees except the St. Louis Workshop Committee which are made in early spring.

INDICATE COMMITTEE ASSIGNMENT PREFERENCE

* First Choice:

Second Choice:

INFORMATION ABOUT YOU

*Last Name: First Name: Initial:

Job Title:

Name of Institution:

Business Address:

FILL THIS FORM OUT ONLINE, THEN SUBMIT ONLINE to Charlie Miller