"One & One" Chapter Delegates

Utilize this online form to designate your chapter's voting representatives, or to indicate how many members from your chapter will be attending the 2008 Congress.

You may also opt to print and mail or fax this pdf form.

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Chapter & Advisor Information
	Institution:
	Advisor's Name:
	Advisor's Email:

Part I: Chapter's Voting Delegates (Ideally one student and one alumnus)
Name of first representative
	Email address
	Phone Number
	Address
	City	State ZIP Code

Name of second representative
	Email address
	Phone Number
	Address
	City	State ZIP Code

Part II: Chapter/Group Attendance
Additional members of our chapter are coming to the 2008 Congress! (Indicate approx. number below)
3-5 people 6-10 people 11-20 people more than 20 people

"One & One" Chapter Delegates

Chapter & Advisor Information

Part I: Chapter's Voting Delegates (Ideally one student and one alumnus)

Name of first representative

Name of second representative

Part II: Chapter/Group Attendance