Submit this form to serve as a Delegate.

Members of our delegate body are eligible to self-nominate for the WCMSSM Board of Directors.

Candidates who wish to run for the Board of Directors should indicate their interest by completing and submitting this form no later than Friday, June 30, 2017, at 5:00 p.m.

​MSMS House of Delegates
April 28-29, 2018
The Henry, Dearborn, MI

Wayne County Medical Society of Southeast Michigan​