79th National Convention Credentials Form – Blinded Veterans Association

BVA 79th National Convention Credentials Form

This is the official Credentials Form for the 79th National Convention of the Blinded Veterans Association. One copy must be received by National Headquarters no later than June 20, 2024. One copy should be given to the elected delegate and one copy should be placed in the regional group files. A confirmation of receipt email will be sent from BVA National Headquarters to the regional group accordingly.

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Name of Regional Group

Name of Elected Delegate

Name of Alternate Delegate #1

Name of Alternate Delegate #2

Name of Alternate Delegate #3

Name of Alternate Delegate #4

Name of Alternate Delegate #5

The Delegate and Alternate Delegates were elected at a meeting of the regional group held:

Meeting Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Meeting Date

Signatures

Signature of Regional Group President

Type your name.

Form Submitted By

Signature of Regional Group Secretary

Type your name.

Submitter Email

Instructions to Delegate, if any:

Name of Delegate for the Rules and Credentials Committee

Name of Delegate for the Bylaws and Resolutions Committee