AC2024 Additional Equalizing Member Submission

Use this form to submit additional equalizing members requested from each district under §1.8c(13) of the Conference Standing Rules. Please note: This form should only be used by districts to submit additional equalizing members. Churches who are submitting an alternate lay member, or who are submitting a lay member and have not previously submitted one, should use the Lay Alternate Request Form.

Name of District Representative Submitting Form(Required)

First Last

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Church(Required)