2019 District Lodge 141 Safety Conference, Delegate Submission Form

2019 District Lodge 141 Safety Conference

Delegate Submission Form

The 2019 IAM141 Committee Conference will be held October 21st – 24th at the Tropicana Las Vegas Casino Hotel Resort. More information can be found on the 2019 IAM141 Safety Conference event page.

Please fill out the form below for each of your delegates. Ensure this information is submitted no later than August 31, 2019. 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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First Name *

Last Name *

Email *

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

Local Lodge *

Airline *

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2019 District Lodge 141 Safety Conference, Delegate Submission Form

2019 District Lodge 141 Safety Conference

Delegate Submission Form

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