Detachment Name _______________________________ Det # _________ Dept of _____
MARINE CORPS LEAGUE
75th Southeast Division Conference
March 18-21, 2021
To: SE Division Credentials Committee
Baton Rouge, LA 70816-8441
Subj: Registration of SE Division Delegate(s)
Ref: SE Division SOP Article VI(b)
DEL ALT
Assoc
Mbr
Dual
Mbr
Guest
Name(s) Include any National and Dept Officers in
your detachment who are atending
Attending
Yes/No
TOTAL MBRS / AUX AUTH DEL
from Dec 30th Report
Please type, do not print
First Timer
Yes/No
________
3. Enclosed is a check/MO ( ) in the amount of $________ made payable to Choctaw Det #778 to cover the registration fees of all delegate(s),
alternates & other attendees to the MCL SE Division Conference.
2. Delegate strength is based on the number of regular members on the 30 December Strength report.
CONV. COMMTTE USE ONLY
Actual
6 Digit Membershp
Number (Not PLM #)
In accordance with reference registration to the SE Division Conference shall be ($10). Such fee should be accompanied by properly executed
Official Credential form. Registration must be received by SE Division Convention Chair not later than fifteen (15) days prior to opening date of the
Division Conference (March 3, 2021).
votes and deleg. Present and paid
Submit ONLY One Official Credential Form per Detachment
Remember to include any Nat. and Dept officers in your detachment who will be attending. Also include names of guests.
Detachment Commandant Date Adjutant/Paymaster Date
Detachment Commandant Date Adjutant/Paymaster Date
($10) per delegate/alternate/guest. Deadline March 3, 2021
PRINT NAME: ________________________________________ ___________ ___________________________________________ __________
SIGN NAME: ________________________________________ ___________ ___________________________________________ __________
Baton Rouge, LA
SE Division Conference
11528 Old Hammond Hwy Apt 1904
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