08 - Delegate Registration Form

Note: All Delegates must be financially active to serve as Delegates during the 2023 Lone Star State Conference. Additionally, all Chapter Financial Assessments must be met in total, and the Chapter must be in good standing at the International, Regional, and State levels for the Chapter’s vote(s) to be represented. Any chapter not meeting any of the above requirements will be refused representation during any voting situations.

This form must be received by November 10, 2023.

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Email *
Submitter Full Name *
Chapter Full Name *
Chapter Secretary Name *
Chapter Secretary Phone # *
Chapter Secretary E-Mail Address *
Primary Delegate Full Name *
Primary Delegate Contact # *
Primary Delegate Email *
Alternate Delegate Full Name *
Alternate Delegate Contact # *
Alternate Delegate Email *
I certify that I have been authorized by my Chapter to serve as Primary or Alternate Delegate *
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