Alaska Federation of Natives, Inc.

2009 Annual Convention

 

Official Delegate Form

 

* required field

This is to certify that * a formed under the Alaska Native Claims Settlement Act (ANCSA), did, in its regular business meeting held on * , 2009, appoint the individuals listed below to serve as its official delegates to the Alaska Federation of Natives, Inc., 2009 Annual Convention to be held in Anchorage, Alaska on October 22, 23, 24, 2009 at the Dena’ina Convention Center.

 

DELEGATES                                                                          ALTERNATES

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

                     

 

 

Prepared By*:      Email*:

 

Title*:                        Date*: (internally generated)

 

*Pay by Check   or Credit Card (Paypal)

If you have selected the "Credit Card" button above, you will be redirected to PayPal now. You will receive a confirmation email once you complete the payment process. Your confirmation email will serve as your receipt.

If you have selected the "Pay by Check" button above, you will receive a confirmation email shortly. Please mail a copy of your confirmation email, along with your payment to:

Delegates to Convention
Alaska Federation of Natives, Inc.
1577 C Street, Suite 300
Anchorage, Alaska 99501

 

Questions or concerns, please call AFN:  (907) 274-3611. To submit a change to your registration, please download a revision form by clicking the links below and fax your completed form to 907-276-7989 or email to agrohall@nativefederation.org

Regional Nonprofit Delegate Revision   Village Delegate Revision


Thank you.

 

Mail address:

Delegates to Convention

Alaska Federation of Natives, Inc.

1577 C Street, Suite 300

Anchorage, Alaska  99501