Clergy-Laity 2023

Delegates

The President or next ranking officer of each chapter and two members are the three delegates. Each delegate is entitled to one vote.
#1. Delegate (President or Executive Board Member) Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
#2. Delegate Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
#3. Delegate Name:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
All Registrations and Payments are Due September 6th, 2023.

Registrations Before August 25th: $300/Person

Registrations On or After August 25th: $350/Person

$10/Person Service Fee on PayPal and Credit Card Payments

No Registrations will be accepted after September 6th.

Approval of Delegation

Please Digitally Sign Bellow to Approve the Delegates listed on the Previous Page
Priest Signature

Clear
Philoptochos President Signature

Clear

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Chapter Information