TS&T *bT T VT&Arial T VT&Arial T VT&Arial T VT&Arial T ZT DZT ZT PZT ZT wZT ZT ZT RZT WZT RZT ZT ZT DZT ZT DZT TZT TZT DRZT HRZT HZT HRZT HPZT HPZT DRZT HWZT D ZT D'ZT HZT DZT DZT D ZT D ZT DPZT DPZT DRZT DPZT D'ZT ZT ZT ZT ZT DPZT tPZT ZT pZT ZT TpZT TpZT TZT TwZT DPZT ZT ZT ZT ZT ZT HZT ZT TZT "ZT  ZT  ZT HZT HZT HZT HpZT HZT HZT HZT HZT ZT ZT PZT ZT ZT TZT WZT ZT HZT HR "\T      kTkT kTkT kTZkTkT kTkTgkT kT kT kT fTeT@eT܀eT܀eT܀eTheTeTeTheTheT heT heT heT heT heTheTheTheTheTheTheTheTheTheTheTheTheTheTheTheTheTheTheT heT!heT"heT#heT$heT%heT&heT'heT(heT)eT*1$oTPTgTt=/=/d#T=/d&%#'CONVENTION REGISTRATION FORM ' ' ' ' ' ' ' 'k&Please list all Delegates in the section titled "Delegates"; PWP in section titled "Past President"; & & & & & & & &h&State Officers, PSWP in the section titled "State Officers & PSP; Visitors and Alternates in the & & & & & & & &2( section titled "Alternates/Visitors". ( ( ( ( ( ( ( (6)>>> DO NOT USE COLUMNS (No. and (Pd). <<< ) ) )*Use Last - First Name Only. (Do not use initials for first name!) If used we will not process until they check in at Convention. * * *PAST PRESIDENTS:    ,DELEGATES: (Alaphabetically)    No.LAST NAME FIRST GA # Pd  No.LAST NAME FIRST GA # Pd > 6 % B D % I ? 7 5 C E 3 5 J  >    %  B  D  %  I  ?  7  5  C  E  3  5  J  >    %  B  D  %  I  @  7  5  C  E  3  5  J  >    %  B  D  %  I ? 7 5 C E 3 5 J >  % B D % I ? 7 5 C E 3 5 J >  % B N  9 M ? 7 5 C O   L >  % BPAST STATE PRESIDENTS &    ? 7 5 CSTATE OFFICERS   $ >  % B No.LAST NAME FIRST   ? 7 5 C F %  I >  % B G 5 4 J ? 7 5 C F %  I >  % B G 5 4 J ? 7 5 C G 5 4 J >  % B G 5 4 J ? 7 5 C G 5 4 J >  % B G 5 4 J ? 7 5 C H   L >  % BALTERNATES/VISITORS:     ?  7  5  C  No. 2LAST NAME FIRST  GA #  Pd !> ! !% !B !D ! !I "? "7 "5 "C "E "3 "8 "J #> # #% #B #E #3 #8 #J $? $7 $5 $C $E $: $8 $K %> % %% %B %D % %I &? &7 &5 &C&"AERIE NAME & NUMBER: &# & &! '? '7 '5 'C '; '< '< '= (A ( (% (B ( (b)+Note: Please type or print information for a quicker and easier readability. Do not mail ), ), ), )' ), ), ), )-c*.this form to the State Secretary or the Host Aerie. Mail to the address stated in the letter */ */ */ *0 */ */ */ *1