Delegate Submission Form Once your service unit elects its delegate(s) and alternate delegate(s), each elected individual must submit this form. The delegate/alternate term is October 1-September 30.Delegate Region (Service Unit)*Please provide your Service Unit number. Don't know your number? Look here. Elected as* Delegate Alternate I am registered as* Adult Youth member (must be 14 years old by October 1, 2022) Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* By providing my email and phone number, I give Girl Scouts River Valleys consent to provide notice to Voting Members by a form of electronic communication such as email or phone.* Yes No Δ