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~ominees are requested to c~plete the following and return it to tl~e Southern <br />Piedmont Health Systams Agency; P. 0 Box 4588; Charlotte, NC 28209. Please <br />g~ve your personal response to the following questions and mail back to SPHSA <br />no later than ~.~ay 8, 1981. JIF you need more space, feel free to enclose an <br /> additiooal sheet for your answers.] <br /> <br />WHAT IS YOUR PARTICULAR INTEREST AND COMMITMENT TO HEALTH AND HEALTH CARE IN <br /> YOUR COM~NtT~ AND IN OUR REGION? <br /> <br /> WHY 00 YOU WISH TO SERVE ON THE GOYERNING BODY OF THE SPHSA? <br /> <br /> Nominee's Name <br /> <br /> <br />