IAT Council Elections

Annual Election Form for IAT Council

1Your Details > 2Biographical Details and Position Statment > 3Untitled Page > 4Proposer and Seconder
Name Name Title First Last Suffix
IAT Membership Number
Membership Status

Membership Status Fellow Member
How you wish your name to be printed on the ballot form
Declaration
I give my consent for my name to be published on the IAT website and in IAT publications

Declaration
I give my consent for my name to be published on the IAT website and in IAT publications Yes No
Professional Address Professional Address
Street Address Address Line 2 City County Postcode Country
Telephone Number
Email Address