2022 IAMAW District 141 Convention Delegate Submission Form

2022 IAMAW District 141 Convention Local Lodge Submission Form

The 2022 IAM141 Committee Conference will be held September 19-22, in Orlando, FL. More information can be found on the 2022 IAM141 Convention event page.

Only Recording Secretaries may fill out this form. Please fill out the form below for each of your delegates, one delegate per form. Please complete and send this form as soon as practicable; all information has to be submitted no later than July 15th, 2022. Attendees will be contacted directly via the email addresses provided by the Local Lodges. Contact us at 847-640-2222 if you have any questions.

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Name of Delegate *

First

Middle

Last

Local Lodge *

Email *

Confirm Email

Please provide a personal email address for the delgate. We can not accept company email addresses.

Delegate Phone Number *

Airline or Company *

Jacket Sizes

Please ask the attendee for their accurate jacket size.

Men's sizes

Women's Sizes

Are there any alternate delegates?

Recording Secretary (Must be submitted by Local Lodge Recording Secretary) *

First

Last

Name

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