Certification of Convention Delegates

This form is to be filled out and must be received by the Detachment Adjutant no later than 10 days prior to the Detachment Convention. The first Delegate listed should be the Delegation Chairman.
Email of Person Submitting Form
example@example.com
Squadron #
District #
Area #
has elected the following persons, all being members of the S.A.L. in good standing, as convention delegates and alternate delegates to represent this squadron at the Annual Detachment Convention.

Any Past Detachment Commanders are a Delegate at Large and have one (1) vote; you get one (1) delegate for your Squadron charter, and one (1) delegate for every fifteen (15) members or a major fraction thereof.

Delegate strength date is June 1
The Delegates have been selected based on (Total Membership)
on (Date of Membership)
Delegates to Convention

First delegate listed should be Delegation Chairman
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Alternate Delegates to Convention
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Name
Name
Member ID
Squadron Commander
Date

MonthDayYear
Date
Squadron Adjutant
Date

MonthDayYear
Date
Should be Empty: