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Jackpot Jive 2016 REGION 12 CONVENTION 2016 CAL MEMBER REGISTRATION TRANSMITTAL FORM DEADLINE: MARCH 25, 2016, Today's Date: Number of Tickets Ordered: Member Events Tickets orders received by 3×25/16
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Begin by downloading the chapter-at-large form from the designated website or obtaining a physical copy from the appropriate regional organization.
02
Fill in your personal information accurately, including your full name, contact information, and any required identification numbers or membership details.
03
Provide information about your chosen region, such as the specific area or location you are interested in joining or representing.
04
Indicate whether you are applying for an individual membership or if you are representing a larger chapter or organization. Provide details about this chapter or organization if applicable.
05
Include any additional information requested on the form, such as your qualifications, experience, or reasons for joining the chapter-at-large in your region.
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Double-check all the filled-out fields for any errors or missing information before submitting the form.
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Submit the completed chapter-at-large form to the appropriate regional organization or follow the instructions provided for submission.

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Those who want to contribute to the regional activities, initiatives, or events organized by the chapter-at-large.
Note: The specific requirements and criteria for filling out the chapter-at-large form - region may vary depending on the regional organization or governing body. It is advisable to carefully review the instructions or guidelines provided by the specific region to ensure accurate and complete submission of the form.
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Chapter-at-large form - region is a form that allows a chapter to operate without being part of a specific geographical region.
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Chapter-at-large form - region typically requires basic chapter information, contact details, and a statement of purpose.
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