2010 SIG Elections
Candidate Information Submission Form
Please include all pertinent information. * Indicates required information.
Name of SIG  *
 
Office sought by Candidate  *
 
First Name  *
Middle Name
Last Name  *
Candidate's Full Name
as it should appear on Slate		  *
 
Candidate's Member Number
Candidate must be a Professional Member of ACM and a member of the SIG for which s/he is seeking to hold office.		  *
Candidate's Email  *
Candidate's Business Phone
include country/city/area code, as appropriate		  *
Street  *
City  *
State/Province
Zip/Postal Code  *
Country  *