Form B – District Registration Credentials List

District Director: List counties in alphabetical order. Then list delegates and alternates in alphabetical order. Compile this list from counties= Form A. Complete this form before you arrive at the State Conference. It will be used at your registration table for delegates to sign in. Make as many copies of this form as you need to list every county. ------

(Print Name) (Sign Here at Registration) Board Members:

Past State Presidents (who are not delegates)

County: Delegate 1: Delegate 2: Delegate 3: Alternate 1: Alternate 2: Alternate 3:

County: Delegate 1: Delegate 2: Delegate 3: Alternate 1: Alternate 2: Alternate 3:

County: Delegate 1: Delegate 2: Delegate 3: Alternate 1: Alternate 2: Alternate 3: 11/08