Delegate/Alternate Agreement

This agreement is for delegates/alternates representing the Ohio
State Assembly at the National Conference of the Association of
Surgical Technologists.

The delegate/alternate must:

·       be a member of the Association of Surgical Technologists.

·       be currently certified as a Surgical Technologist.

·       reside in the State of Ohio.

·       attend and vote at all business meetings at the national
conference.

·       submit to the President a travel and lodging itinerary prior to
attending.

·       sign and date this agreement.

One  officer of the State Assembly will co-sign this agreement.

The delegate/alternate will be reimbursed conference early bird
pricing within two weeks following the national conference by the
treasurer of the Ohio State Assembly.

Delegate:_________________________________ Date:_____________

Officer:__________________________________ Date:_____________

revised May, 2006