ALR DELEGATE - ALTERNATE FORM

Delegates:

Alternates:

All Delegates & Alternates must be Members In Good Standing with Legion Family, Chapter and State dues paid.

Each Chapter is allowed: 1 vote – Director only 1 vote - At Large Member 1 vote – Delegate - per every 10 paid members as counted by the State Membership Officer at Close of Books the June before the election.
Name of Member completing report
Title
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: