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Convention Delegate Confirmation
Please confirm that delegates attending convention are paid members of PTA and should have the privledges of a voting delegate. In the event that you have more than 5 delegate attending convention, please fill out the form more that once.
Email address *
PTA Name *
Your answer
PTA Region *
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Delegate 1
Your answer
Delegate 1 contact information
Your answer
Delegate 2
Your answer
Delegate 2 contact information
Your answer
Delegate 3
Your answer
Delegate 3 contact information
Your answer
Delegate 4
Your answer
Delegate 4 contact information
Your answer
Delegate 5
Your answer
Delegate 5 contact information
Your answer
A copy of your responses will be emailed to the address you provided.
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