Maine AFL-CIO COPE Convention
OFFICIAL CREDENTIAL

MAINE AFL-CIO

2020 VIRTUAL ONLINE COMMITTEE ON POLITICAL EDUCATION (COPE) CONVENTION

JUNE 25 - 26, 2020

**Please register by Friday June 19** Pre-registration is more important than ever this year given this is an online convention.

THIS IS TO CERTIFY THAT:

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* 1. DELEGATE #1

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 2. ALTERNATE #1

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 3. DELEGATE #2

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 4. ALTERNATE #2

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 5. DELEGATE #3

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 6. ALTERNATE #3

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 7. DELEGATE #4

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 8. ALTERNATE #4

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 9. DELEGATE #5

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 10. ALTERNATE #5

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 11. DELEGATE #6

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 12. ALTERNATE #6

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 13. DELEGATE #7

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 14. ALTERNATE #7

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 15. DELEGATE #8

Delegate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

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* 16. ALTERNATE #8

Alternate Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address- Required

Phone Number

HAS BEEN SELECTED TO REPRESENT THE FOLLOWING

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* 17. International Union or Organization:

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* 18. Local Number

AT THE 2020 COPE CONVENTION TO BE HELD JUNE 25-26, 2020.

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* 19. President's Signature (name and date)

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* 20. President's Phone Number

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* 21. I certify that I am the President of my local union and have the authority to appoint this/these delegate(s) and alternate(s).

Yes

Maine AFL-CIO COPE ConventionOFFICIAL CREDENTIAL

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* 1. DELEGATE #1

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* 2. ALTERNATE #1

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* 3. DELEGATE #2

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* 4. ALTERNATE #2

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* 5. DELEGATE #3

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* 6. ALTERNATE #3

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* 7. DELEGATE #4

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* 8. ALTERNATE #4

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* 9. DELEGATE #5

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* 10. ALTERNATE #5

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* 11. DELEGATE #6

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* 12. ALTERNATE #6

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* 13. DELEGATE #7

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* 14. ALTERNATE #7

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* 15. DELEGATE #8

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* 16. ALTERNATE #8

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* 17. International Union or Organization:

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* 18. Local Number

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* 19. President's Signature (name and date)

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* 20. President's Phone Number

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* 21. I certify that I am the President of my local union and have the authority to appoint this/these delegate(s) and alternate(s).

Maine AFL-CIO COPE Convention
OFFICIAL CREDENTIAL