IB 362al

07/07

(ES)

Delta Omicron

International Music Fraternity

Conference Delegate and Alternate

An alumni chapter is not required to have a business delegate at the Triennial Conference but may have one seated with full rights and privileges providing the chapter has paid the conference investment for the three years of the triennium or the chapter and/or the delegate pays all conference expenses for the delegate.

Send this from to the Province President after the delegate is selected but not later than April 1.

Chapter __________________________ Province _______________________

Name of Conference Delegate _________________________________________________________

E-Mail Address _____________________________________________________________________

Address ___________________________________________________________________________

Phone _____________________________________________

Name of Conference Delegate Alternate _________________________________________________

(will attend if delegate is not)

E-Mail Address _____________________________________________________________________

Address ___________________________________________________________________________

Phone ____________________________________________

Please Check One:

_____ Chapter has paid investments

_____ Chapter or delegate will pay full expenses

_____ Chapter will not have a delegate