AHT Elections 2021 - Voting Member Verification Form
Please fill in all the details before. It is important to get all the details to identify you accurately. The Election Committee will respond via email.
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Email *
Your Last Name *
Your First Name *
Please include your First Name
Your Email Address *
Please include your Email Address
Your Secondary Email Address
Please include if you have secondary email.
Your Contact Number with Area Code *
Phone Number
Your Secondary Contact Number with Area Code
Please include other phone numbers that you have
Spouse Name
Please include the first name and last name of your spouse
Your Mailing address *
Please include your mailing address in the standard postal address format
Additional Information
Please include some additional information to identify your record, such as your previous address, your previous contact number, or previous email. AHT may have not have your updated information on the file
A copy of your responses will be emailed to the address you provided.
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