Credentials Report - Form 1
Credentials for State Convention (Deadline is March 1)

1. Council Number *


2. City Where Council Located *


3. Your Email Address *


4. Names of Two Delegates to State Convention --- (use semi-colon to separate names)


5. Names of Two Alternates to State Convention --- (use semi-colon to separate names)


6. Your Name *


7. Your Council Position *