Delegate Submission

Sunday, November 13, 2022
3PM ET / 2PM CT

INTERNATIONAL ASSOCIATION
OF TORCH CLUBS

FALL CONVENTION

DELEGATE SUBMISSION

TORCH CLUB PRESIDENTS ONLY
Complete the information below to
officially submit your club's delegates and alternates
for the 2022 IATC Fall Convention.
All delegate submissions must be received
through online submission or by mail no later than Friday, November 11, 2022.

YOUR CONTACT INFORMATION

* Indicates required field

Name *

First

Last

Club *

Email *

Phone Number *

ENTER YOUR PRIMARY DELEGATE INFORMATION BELOW

Delegate #1 Name *

First

Last

Delegate #1 Email *

Delegate #1 Phone Number *

Delegate #2 Name *

First

Last

Delegate #2 Email *

Delegate #2 Phone Number *

ENTER YOUR ALTERNATE DELEGATE INFORMATION BELOW

Alternate #1 Name *

First

Last

Alternate #1 Email *

Alternate #1 Phone Number *

Alternate #2 Name *

First

Last

Alternate #2 Email *

Alternate #2 Phone Number *

Submit