Senior Physicians Section (SPS) Ballot Request Form
Request a ballot to vote in the SPS Governing Council election taking place April 1- 23, 2025. Prior to submitting this form, please check your spam and alternative email addresses to ensure the ballot was not previously received. Please note only active AMA members aged 65 and older as of April 1, 2025 are eligible to vote in the election.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday
*
-
Month
-
Day
Year
Date
Are you a current AMA Member? (Only active AMA Members are qualified to vote)
*
Yes
No
Unsure
Submit
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