Designation of Spokesperson Form

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Designation of Spokesperson Form

Lower Susquehanna Synod, ELCA 36th Annual Synod Assembly

June 2 – 3, 2023

Please complete this form by March 1, 2023. Please email dclark@lss-elca.org with any questions.

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* Indicates required question

Agency/Institution/Committee Name *

Your answer

Person completing form
*

Your answer

Designated spokesperson
*

Your answer

Spokesperson’s address
*

Your answer

Spokesperson’s telephone #
*

Your answer

Spokesperson’s cell #
*

Your answer

Spokesperson’s e‐mail
*

Your answer

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