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DELEGATE REGISTRATION(2 PARTS)
BOTH PARTS MUST BE COMPLETED FOR VALID REGISTRATION

2009 Annual Delegate Registration Form
  You Must complete all fields below or the form will not submit
  ONLY 6 DELEGATES CAN BE LISTED, NO ALTERNATES AFTER THE MAXIMUM OF 6




PART 1
Download and complete this form. You must then print the completed form and
mail it in with your check

REGIONAL MEETING FORM


PART 2
Complete this online registration form and submit
MAIN DELEGATE #1
TITLE
NAME
ADDRESS
CITY/STATE/ZIP
EMAIL
DAYTIME PHONE
EVENING PHONE
CELL PHONE
MAIN DELEGATE #2
TITLE
NAME
ADDRESS
CITY/STATE/ZIP
EMAIL
DAYTIME PHONE
EVENING PHONE
CELL PHONE
CHEER DELEGATE #1
TITLE
NAME
ADDRESS
CITY/STATE/ZIP
EMAIL
DAYTIME PHONE
EVENING PHONE
CELL PHONE
CHEER DELEGATE #2
TITLE
NAME
ADDRESS
CITY/STATE/ZIP
EMAIL
DAYTIME PHONE
EVENING PHONE
CELL PHONE
DELEGATE #5
TITLE
NAME
ADDRESS
CITY/STATE/ZIP
EMAIL
DAYTIME PHONE
EVENING PHONE
CELL PHONE
DELEGATE #6
TITLE
NAME
ADDRESS
CITY/STATE/ZIP
DAYTIME PHONE
EVENING PHONE
CELL PHONE
EMAIL
League/Conference Name:
Attend the Annual Meeting
Number of Additional Delegates Attending Dinner @ $50 per person. Region is paying for (1) Main Delegate and (1) Cheer Delegate only. 
If additional reservations above the six are required please send an email to easternregionfootball@frontiernet.net
DO NO FILL IN
LEAVE DASHES!