2022 Alaska Democratic Party                                      House District Delegates to the State Convention
Please use this form to submit the name and contact information for each delegate to the State Convention.

In order to ensure we have accurate information please submit one form per delegate.

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Email *
House District *
Submitted By: *
Is this Delegate representing your District's Delegation on one of the State Convention Committees? *
Required
Name of Delegate *
Delegate Phone Number *
Delegate Email *
Check this box if this is an Alternate
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