Please enable JavaScript in your browser to complete this form.Name *FirstLastAGO Membership Number *Email *DEAN (2-year term) *Ronna DavisWrite-InWrite-In for DEAN:SUB-DEAN (2-year term) *Marjorie NessWrite-InWrite-In for SUB-DEAN:SECRETARY (2-year term) *Robert Potterton IIIWrite-InWrite-In for SECRETARY:TREASURER (2-year term) *Juan MesaWrite-InWrite-In for TREASURER:REGISTRAR (2-year term) *Leonardo CiampaWrite-InWrite-In for REGISTRAR:MEMBERS-AT-LARGE (4-year terms; select up to FOUR candidates)Kristjon ImperioDan MoriartyKevin NeelDeborah PageBecky NooneJohnna RossWrite-In for MEMBERS-AT-LARGEPlease use this field to write-in up to four candidates for Member-At-Large ONLY if you have not selected four from the above list.Submit
