From: [Email] ([Name])
To:   secretary@icca-sfba.org
cc:   [Email] ([Name)]
Subject: ICCA San Francisco Bay Area 2004 Ballot

Here's the information from the form:

Name:                 [Name] 
Email:                [Email]
MemberNumber:         [MemberNumber]

Voting record:

Officers
   President:         [Pres][WriteInPres]
   Vice President:    [Veep][WriteInVeep]
   Secretary:         [Sec][WriteInSec]
   Treasurer:         [Treas][WriteInTreas]

Directors
   Director 1?        [Dir1][WriteIn1]
   Director 2?        [Dir2][WriteIn2]
   Director 3?        [WriteIn3]
   
Proxy authorization:  [Proxy]

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