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Delegate Verification Form

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

— Thursday, Sept. 4, 2-3:15 p.m.
— Saturday, Sept. 6, 3-5 p.m.

For your information, regional meetings will be held on Friday, Sept. 5 and Saturday, Sept. 6. 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:
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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:
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No. of Votes:

Delegate No. 2

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Delegate No. 3

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No. of Votes:

Delegate No. 4

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No. of Votes:

Delegate No. 5

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Delegate No. 6

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Alternate Delegates Information

Alternate No. 1

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Alternate No. 2

Name:
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No. of Votes:

Alternate No. 3

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No. of Votes:

Alternate No. 4

Name:
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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
3909 N. Meridian St.
Indianapolis, IN 46208
317/927-8000 | Fax: 317/920-4789

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