Please list names according to highest number of votes received. The name of the President, who is automatically a delegate by virtue of his office, should be first, then the elected delegates.
#Votes Rec’d Name AddressZip Code 1 President 2
2 3
4
5
6
7
8
9
10
11
12
13
14
15
Assistant State Delegates
Name AddressZip Code 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
___________________________________________________________________________________
Name of Lodge Chaplain: ______________________
