Please enable JavaScript in your browser to complete this form.Name *FirstLastAGO Membership Number *Email *DEAN (2-year term) *Randy SteereWrite-InWrite-In for DEAN:SUB-DEAN (2-year term) *Kevin NeelWrite-InWrite-In for SUB-DEAN:SECRETARY (2-year term) *Robert Potterton IIIWrite-InWrite-In for SECRETARY:TREASURER (2-year term) *Kristjon ImperioWrite-InWrite-In for TREASURER:MEMBERS-AT-LARGE (2-year terms) - SELECT UP TO FOURStan Hanson (1st term)Deborah Page (1st term), RegistrarJohnna Ross (1st term)Dan Moriarty (2nd term), TAO LiaisonWrite-In for MEMBERS-AT-LARGEPlease use this field to write-in candidates for Member-At-Large ONLY if you have not selected all four from the above list (ex. if you selected only one of the names above, you can write-in no more than three other names in this field)Submit