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RA DELEGATE STATUS CONFIRMATION

Delegates elected to both STATE and LOCAL may NOT hold both positions. Please complete the form below to let us know which position you will accept.

Name(Required)
Delegate Status:(Required)

NOTE:  If you choose to attend as a STATE delegate, you must inform your Local Chapter no later than April 7, 2025, to allow them to allocate the vacant position to a successor delegate.

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MM slash DD slash YYYY
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