2024 AHEPA District 6 Convention Delegates
Kindly complete the form below to submit delegates and alternates for the convention to be held on June 15, 2024 by no later than May 24, 2024.

If no information is available, please indicate N/A. Please provide an e-mail address for all delegates and alternates.
Sign in to Google to save your progress. Learn more
Email *
Chapter Name and No. *
Date of Meeting *
MM
/
DD
/
YYYY
Number of Attendees *
Delegate 1 - Member # *
Delegate 1 - Name *
Delegate 1 - Email address *
Delegate 1 - Cell Phone (Preferred) *
Delegate 2 - Member # *
Delegate 2 - Name *
Delegate 2 - Email address
Delegate 2 - Cell Phone (Preferred) *
Delegate 3 - Member # *
Delegate 3 - Name *
Delegate 3 - Email address
Delegate 3 - Cell Phone (Preferred) *
Delegate 4 - Member # *
Delegate 4 - Name *
Delegate 4 - Email address
Delegate 4 - Cell Phone (Preferred) *
Delegate 5 - Member # *
Delegate 5 - Name *
Delegate 5 - Email address
Delegate 5 - Cell Phone (Preferred) *
Delegate 6 - Member # *
Delegate 6 - Name *
Delegate 6 - Email address
Delegate 6 - Cell Phone (Preferred) *
Alternate 1 - Member #
Alternate 1 - Name
Alternate 1 - Email address
Alternate 1 - Cell Phone (Preferred)
Alternate 2 - Member #
Alternate 2 - Name
Alternate 2 - Email address
Alternate 2 - Cell Phone (Preferred)
Alternate 3 - Member #
Alternate 3 - Name
Alternate 3 - Email address
Alternate 3 - Cell Phone (Preferred)
Alternate 4 - Member #
Alternate 4 - Name
Alternate 4 - Email address
Alternate 4 - Cell Phone (Preferred)
Alternate 5 - Member #
Alternate 5 - Name
Alternate 5 - Email address
Alternate 5 - Cell Phone (Preferred)
Alternate 6 - Member #
Alternate 6 - Name
Alternate 6 - Email address
Alternate 6 - Cell Phone (Preferred)
Past District Governor, Past Supreme President, or current Supreme and District Lodge Officer
Member #, E-Mail and Cell Phone
Past District Governor, Past Supreme President, or current Supreme and District Lodge Officer
Member #, E-Mail and Cell Phone
Past District Governor, Past Supreme President, or current Supreme and District Lodge Officer
Member #, E-Mail and Cell Phone
Please type your name below, which will serve as the electronic signature attesting to the information submitted on behalf of the President and Secretary *
After completing the above delegate registration form for the 2024 convention, kindly submit the appropriate fees per member by check payable to AHEPA Schenectady Chapter #125, c/o Christopher Euripidou, 1975 Central Avenue, Albany, NY 12205. The deadline to receive the delegate form and fees is Friday, May 24, 2024. No delegate forms will be accepted after this date.  

In order to vote at the District Convention all delegates and alternates must be in good standing, and paid through 2023 to the district and 2024 to AHEPA Global Headquarters.

Any chapters who have not yet paid their $10 per member district per capita, should immediately forward the amount payable to AHEPA District 6, c/o Bro. Harry Yanakis, 23-37 205th St., Bayside, NY 11360. Please contact Executive Secretary Chris Pappis with any questions at execsecretary@ahepad6.com.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms