Call for Nominations: 2010-2011 NWOHIMA Regional Ballot
Please consider the following candidate:
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Response Required
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Name
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Credential(s)
RHIA
RHIT
CCS
CCS-P
CCA
CHP
CHS
CHPS
Other
Daytime Phone
E-mail Address
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Please consider this person for the following position(s)
President-Elect
Secretary
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Please indicate type of nomination
This is a self-nomination OR I have contacted the person nominated and s/he agrees to be considered for the regional ballot.
I am nominating this individual and have not obtained his/her consent for nomination.
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