STATE CONVENTION DELEGATE/ALTERNATE REGISTRATION

VFW State Convention Delegate and Alternate Form

Post*

City*

POST DELEGATE DUES: The amount that the Post owes is based of the Voting Strength. One (1) Delegate for every thirty (30) Members or Fraction Thereof. Delegate Fees: $5.00 per Delegate, Plus $5.00 for Post Commander. Make checks payable to: VFW, Department of Louisiana. Mail form to: VFW, Department of Louisiana, 10185 Mammoth Avenue, Baton Rouge, LA 70814. Deadline Date is June 15th. NOTE: Post MUST pay for all Delegates that are entitled to vote or it loses all votes. However, please only list the names of those that will be attending the Convention below.

Will the Post Commander be attending the State Convention?*

YESNO

POST COMMANDER*

Will the Sr Vice Post Commander be attending the State Convention?

YESNO

POST SR VICE COMMANDER

Will the Jr Vice Post Commander be attending the State Convention?

YESNO

POST JR VICE COMMANDER

POST DELEGATES

	NAME
1
2
3
4
5
6
7
8
9
10

POST ALTERNATES

	NAME
1
2
3
4
5
6
7
8
9
10

If your Post has more than 15 Delegates, please list them below:

POST DELEGATE DUES*

Delegate FeeThe total amount owed for Post Delegate dues is based off the Post Voting Strength. Example: if the Post has a voting strength of 3+1, the Post would owe $20.00 for Delegate Dues. In the quanity section below you enter the Total Votes allowed for the Post (Example: for 3+1, you would enter 4 in the quantity section)

$5.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card