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Today's Date
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Credentialing for:
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Delegate
Non-Delegate Committee Chair
Board Member
Information of Person Completing this form:
Name:
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Email:
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Confirm Email:
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Phone Number.
Please include all applicable dialing information
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Are you the Area Chair (or their authorized designee)?
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Yes
No
Only the Area Chair, or their designee, may complete this form. Please contact your Area Chair.
Please credential every Delegate/Alternate Delegate regardless of whether they carry a vote or plan to attend Conference.