NOTE: This form is to be submitted ONLY if you need to replace an already registered delegate.

We request the privilege of seating the duly elected alternate in place of our delegate who is unable to serve.

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* 1. Alternate Delegate to be Seated (Full Name)

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* 2. Replacing Delegate (Full Name)

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* 3. Church

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* 4. Pastor's Signature
By typing name you are officially signing this form for submission.

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