Certification of delegates

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Certification of delegates

  1. 1. r Return by May 1, 2014 CERTIFICATION OF DELEGATES KENTUCKY ASSOCIATION FFA CONVENTION Complete and return to: Matt Chaliff, Executive Secretary, Kentucky Association FFA, 500 Mero Street, Room 2023, Frankfort, Kentucky 40601. This form does not register the members for the FFA Convention; it only allows us to type delegate badges. The names of the first two members listed below are the official delegates for the 84th Annual Kentucky FFA Convention from the Chapter of the Kentucky Association FFA. The third member is our alternate. PLEASE PRINT Official Delegate: Home Address: Official Delegate: Home Address: Alternate: Home Address: LIST ALL TEACHER(S) ATTENDING Signed: Teacher of Agriculture Teacher of Agriculture Date Teacher of Agriculture NOTE: Please fill out and return the Convention Registration Form to pre-register for the Convention. .

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