Electronic Ballot Request

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Please fill out the following information to request an electronic ballot for this year's District or Chapter election. Each voting member must have a unique login to vote electronically. You will be emailed your voting information and link to submit your ballot electronically within 24 hrs.

First Name *

Last Name *

Email Address *

Street Address *

City *

State *

Zip Code *

District (please enter your district number only) *

Chapter (please enter your chapter/chapter number) *

Birthdate *

YYYY

If you have any questions or comments, you may submit them here.

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