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Delegate Application Form

You may submit up to 2 delegate's information. If you submit info for a second delegate, please be sure to fill out their info in full, as the feilds on the form are optional for delegate #2!

Please email director@namaronites.org for questions/concerns.

Delegate #1 info:

First Name*

Last Name*

Email*

Cell Phone*

Address*

Delegate #2 info:

First Name

Last Name

Email

Cell Phone

Address

Pastor/Administrator Info:

First Name*

Last Name*

Email*

Phone*

Parish Name*

Parish City*

Parish State (abbreviated)*

Keep the Flame Alive.

PO Box 3035 Easton, PA 18043

(904)-752-1882

director@namaronites.org

Copyright c 2025 National Apostolate of Maronites. All Rights Reserved.

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