RSPA 2016 Voter Registration Survey

To ensure that RSPA has your updated member contact information and can reach you regarding the August 1st voting for the Vendor Awards of Excellence, please complete and submit the information below:

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* 1. First and Last Name of Individual Voter

First Name

Last Name

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* 2. Company Name

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* 3. Company Mailing Address

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* 4. Company Phone Number

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* 5. Your title (at company)

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* 6. Your work email address

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* 7. Your work phone number

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* 8. Are you the authorized voter for this company?

An authorized voter, usually the company owner or principal, is the individual designated to vote in RSPA Board elections, or in other special RSPA circumstances where one vote is required per company.

Yes

No

Not Sure