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Tools for SPJ Leaders
Delegate Verification Form

Chapter delegates will need to be present at the following business sessions:

— Friday, Sept. 18, 4-5 p.m.
— Sunday, Sept. 20, 3-5 p.m.

For your information, regional meetings will be held on Saturday, Sept. 19. Check the program book for more information about specific regions.


Chapter information and contacts

Chapter Name:
Chapter President:
Number of Delegate Votes Authorized:
Is your chapter is challenging the authorized vote count?
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Name of Person Submitting Form:
E-mail of Person Submitting Form:

Delegates Information

Important: Please be certain your delegates and their number of votes match the total votes authorized for your chapter.

Delegate No. 1

Name:
Membership Number:
No. of Votes:

Delegate No. 2

Name:
Membership Number:
No. of Votes:

Delegate No. 3

Name:
Membership Number:
No. of Votes:

Delegate No. 4

Name:
Membership Number:
No. of Votes:

Delegate No. 5

Name:
Membership Number:
No. of Votes:

Delegate No. 6

Name:
Membership Number:
No. of Votes:

Alternate Delegates Information

Alternate No. 1

Name:
Membership Number:
No. of Votes:

Alternate No. 2

Name:
Membership Number:
No. of Votes:

Alternate No. 3

Name:
Membership Number:
No. of Votes:

Alternate No. 4

Name:
Membership Number:
No. of Votes:

Reminder: Please be certain your delegates and their number of votes match the total votes authorized for your chapter.

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Society of Professional Journalists
Eugene S. Pulliam National Journalism Center
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