DELEGATE AND ALTERNATE FORM 2021
Email of submitting Unit Officer (President or Secretary)
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Delegate & Alternate Report
Elect one delegate to cary Unit votes for election of National Officers form Unit members who will be attending the National Convention.

List alternates from other Unit members attending the convention in the order they will fill the delegate position if the named delegate is unable to be present.

Delegate and Alternate Eligibility
- Unit must have submitted Installation Report by May 31st
- Must be a Regular Member (not Junior or Associate Member)
- Delegate/Alternate must be registered for the convention.

Delegate and Alternate Report must be received by National no later than June 30, 2021- or a paper copy delivered at the National Convention in person.

For information about Unit delegates, please refer to MOPHA Bylaws and Procedure Manual. (found under 'Member Forms' on our Website).
 
Unit number and state *
DELEGATE NAME *
DELEGATE EMAIL *
DELEGATE PHONE *
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