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(ES)
DELTA OMICRON
INTERNATIONAL
MUSIC FRATERNITY
CONFERENCE COLLEGIATE
DELEGATE AND ALTERNATE
Send this form to the Executive Secretary and a copy to the Province President after the chapter’s delegate and alternate are selected. The form should be postmarked no later than April 1 in the year of the Triennial Conference. If the delegate’s registration fee has not yet been paid, a check in the amount of the registration fee should accompany this form mailed to the Executive Secretary.
Chapter __________________________ Province _______________________
Name of Conference Delegate _________________________________________________________
(not a graduating senior)
School Address _____________________________________________________________________
School Phone _______________________________________________________________________
E-Mail Address _____________________________________________________________________
Summer Address ____________________________________________________________________
Summer Phone __________________________________
Name of Conference Delegate Alternate _________________________________________________
(will attend if delegate cannot)
School Address _____________________________________________________________________
School Phone _______________________________________________________________________
E-Mail Address _____________________________________________________________________
Summer Address ____________________________________________________________________
Summer Phone __________________________________
Send to Executive Secretary by April 1, 2009:
Julie Hensley Wright