Delegate Submission

Delegate
Submission

TORCH CLUB PRESIDENTS ONLY
Complete the information below to officially submit your club's delegates and alternates for the 2023 IATC International Convention.
All delegate submissions must be received
through online submission or by mail.

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

Delegate​Submission

Delegate
Submission