Elections- Absentee Ballot Request Form

An Absentee Ballot will allow a member to vote on the candidates and/or issues as they appear on the ballot(s). Absentee voting allows you complete control over choosing the candidates for whom you wish to vote. Your vote will count if the Absentee Ballot is postmarked by JULY 9, 2020 and received before convention. Please note that by voting absentee, you will have no voice in any items that may be brought to a vote at the General Membership Meeting. You can assign another member your rights to vote by proxy if you would like to have a vote on all matters and any candidates nominated from the floor.
Your Information
ICES Member Number*
Name*
First Last
Phone*
Alt Phone
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
By clicking “I agree", I agree to use an electronic signature to demonstrate my acceptance of the above information. I understand and agree that an electronic signature and/or electronic acceptance is as legally binding.
I Agree*
- Digital Signature
This form is not complete unless you click “submit" and will be used as your digital signature.
Once you have submitted the form you should receive a “Thank You” confirmation email. If you do not receive this “Thank You” email then your form DID NOT go through and you will need to RE-SUBMIT your form.
Please double check to make sure you:
Have filled in all the required information, (a RED message will appear if information is missing).
Este formulario no está completo a menos que haga clic en "enviar".
Una vez que haya enviado el formulario, debe recibir un correo electrónico de confirmación de "Gracias". Si no recibe este correo electrónico de "Agradecimiento", entonces su formulario NO se envió y tendrá que REITERAR su formulario.
Por favor, vuelva a verificar para asegurarse de que:
Ha completado toda la información requerida (aparecerá un mensaje ROJO si falta información).
Phone
This field is for validation purposes and should be left unchanged.

Elections- Absentee Ballot Request Form

Your Information