VOTE FOR BOARD MEMBERS - DUE JUNE 20, 2009

Name:
Address:
City:
State:
Zip/Postcode:
Country (if not USA)
Phone (home):
E-mail:

Please, mark your ballot for each of the following: (YES/NO)
I vote for all five candidates recommended by the Nominating Committee
Or vote separately for each candidate: Please, make up to 5 votes: (YES/NO)
I vote for Michelle Cieslak
I vote for Altheada Johnson
I vote for Camron King
I vote for Robert Kramer
I vote for Thomas Rodenberg

Write-in Candidate:

VHL Family Alliance
2001 Beacon St, Suite 208, Boston, MA 02135-7787 USA
Tel: +1 800 767-4845 or +1 617 277-5667; Fax: +1 858-712-8712
E-mail: info@vhl.org

Click here for index

VOTE FOR BOARD MEMBERS - DUE JUNE 20, 2009

Please, mark your ballot for each of the following: (YES/NO)

Or vote separately for each candidate: Please, make up to 5 votes: (YES/NO)

Please, mark your ballot for each
of the following: (YES/NO)

Or vote separately for each candidate:
Please, make up to 5 votes: (YES/NO)