Candidate Endorsement Form

I,First Name*   Last Name*  , delegate fromCounty/Specialty Society* write this letter in strong support of the candidacy of First Name*   Last Name*for the position of    Please Select President-Elect Vice-President Secretary Assistant Secretary Treasurer Assistant Treasurer Speaker Vice-Speaker Third District Councilor Ninth District Councilor Queens County Councilor OMS Councilor WPS Section Councilor Resident and Fellow Section Councilor Medical Student Section Councilor Trustee Delegate to the AMA RFS Delegate for the NY Delegation MSS Alternate for the NY Delegation *