Delegate Form: Lay Person

Delegate Form: Lay Person

May 8-9, 2025 40 Convention of the Southeastern District Lutheran Church—Missouri Synod
THE LAY DELEGATE from:
Congregation:*
Congregation, City, State
City:*
State:*
Circuit:*
IS:
Name
Title:
Address:
City, State, Zip:
Home Phone:
Cell Phone:
Email:
example@example.com
Occupation:

Congregational President Name:*
Congregational President Email:*
example@example.com
Additional Congregational Officer Name:*
Additional Congregational Officer Email:*
example@example.com
The nomination form is NOT complete until e-signatures are received from the following two congregational officers. If you are not a congregational officer, please inform them to look for an Adobe Sign email from Gina Jordan.
Submit your nominations by DECEMBER 13, 2024.
Should be Empty: