WEA Delegate Form

Please complete this form (all information is needed) by February 15, 2013.

Please be sure to include street and email addresses for each delegate.

If you have any questions contact Cherie Cox at 307-634-7991 ext. 101

* 1. Name of Local Education Association?

* 2. Name of Local President?

* 3. Delegates

* 4. Delegates

* 5. Delegates

* 6. Delegates

* 7. Delegates

* 8. Delegates

* 9. Delegates

* 10. Delegates

* 11. Delegates

* 12. Delegates

* 13. Delegates

* 14. Delegates

* 15. Delegates

* 16. Delegates

* 17. Delegates

* 18. Delegates

* 19. Delegates

* 20. Delegates

* 21. Delegates

* 22. Delegates

* 23. Delegates

* 24. Delegates

* 25. Comments:

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