BC Athletics

Delegate Registration
2008 BCA Annual General Meeting

All fields in red marked with * are required. Use na for any required fields that are not applicable. If you leave required fields blank an alert will pop up indicating which info is missing.

A confirmation of your submission will be emailed to you using the address you provide. The confirmation will include instructions on how to make corrections.

*Name of Club  
*Submitted by CLUB PRESIDENT OR MEMBER
OF THE EXECUTIVE
*Email AUTOMATIC CONFIRMATION EMAIL
WILL BE SENT TO THIS ADDRESS
*BC Athletics Number xx-xxxxx OF PERSON SUBMITTING FORM
*Position held in club PRESIDENT, VICE-PRESIDENT, ETC.
*Total # of votes held by club  
 
 Delegate 1
*Delegate Name  
*Phone WITH AREA CODE xxx-xxx-xxxx
*Fax WITH AREA CODE xxx-xxx-xxxx
*Email  
*Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 2
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 3
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 4
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 5
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 6
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 7
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 8
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 9
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 10
Delegate Name  
Phone WITH AREA CODE xxx-xxx-xxxx
Fax WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
 
I am a member of the Board of Directors
of the club indicated above:
 AGREE

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