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Get Consent To Serve Form

(required) Date Signature (required) Return all nomination materials to: Lorrie Murphy Attn: Executive Secretary CGFNS Suite 400, 3600 Market Street Philadelphia, PA 19104 Phone: 215-387-6950 Fax: 215-387-7497 E-mail: lmurphy cgfns.org Name of Nominee (please print) Signature of Nominee (required) Date: PLEASE N.

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