Delegation Request Form

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Delegation Request Form

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Name of Person To Be Delegated

Address

Phone Number

E-mail address: *

Election\ Visitation Date and Time *

Name of Fraternity *

Fraternity Minister Name *

Fraternity Ministers Phone Number *

Regional Ministers Delegation

Spiritual Assistants Delegation

Fraternity Ministers Email Address *

Fraternity City *

Meeting Location *

Meeting Address *

Meeting Date and Time *

Who are the Family Councilors *

Captcha (spam protection code) *

Note: Fields marked with * are required

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