DESIGNATION OF 2019-2020 FSBA LEGISLATIVE COMMITTEE REPRESENTATIVE

Please complete the online form below and submit the form by July 15, 2019. If you have any questions or concerns, please contact Ruth Melton by phone at 850-414-2578 or by email at melton@fsba.org.

This form is also available in Word format.

    School District:*

    Legislative Representative:*

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    Cell Phone:*

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    ___________________________________________________________

    Alternate:*

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    Cell Phone:*

    Email:*

    Other contact information:*

    ___________________________________________________________

    Name of person completing this form:*

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