Convention Delegate Absentee Nomination Form

In the case of an emergency, if you are unable to attend our BPOU Convention but would still like to be considered as a Congressional District / State delegate or alternate, please fill out the following information before 5:00 pm on Thursday, February 26th to be considered for election.

Reason for being unable to attend the BPOU Convention in person.

Name*

First Name

Last Name

Address

Street Address

City

State

Zip Code

Email*

Phone*

I would like to run to be a BPOU:*

Delegate

Alternate

I certify that I meet the requirements to be a delegate or alternate:

I am an eligible voter

I agree with the principles of the Republican Party

Statement for candidacy:

If the convention rules allow the text you write here may be provided to the convention.