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Church:
Certificate of Election
Year-end Church membership:
District:
Delegates to the District Assembly
Assembly Date:
Ex Officio Delegates
(Members of the district assembly by virtue of office for the new assembly year)
According to Manual 201, department heads (or their Vice) elected to serve in the new church year represent your
church at the District Assembly, not the officers during the past year.
NMI President:
or NMI Vice President:
Email:
Email:
NYI President:
or NYI Vice President:
Email:
Email:
SDMI Vice Supt.:
or
SDMI Supt.:
Email:
Email:
Additional Delegates
If District membership is 5,000 or more, use Chart 1; if District membership is less than 5,000, use Chart 2.
CHART 1
CHART 2
(Manual 201.2)
(Manual 201.1)
Members
Delegates
Members
Delegates
Members
Delegates
Members
Delegates
0 - 75
1
326 - 375
7
0 - 75
2
326 - 375
8
76 - 125
2
376 - 425
8
76 - 125
3
376 - 425
9
126 - 175
3
426 - 475
9
126 - 175
4
426 - 475
10
176 - 225
4
476 - 525
10
176 - 225
5
476 - 525
11
226 - 275
5
526 - 575
11
226 - 275
6
526 - 575
12
276 - 325
6
576 - 625
12
276 - 325
7
576 - 625
13
If your church is eligible for more than 12 or 13 delegates, continue the appropriate chart to reach the total number of
•
delegates allowed for your church membership.
If the church is a Church-Type Mission which has members, the Board of General Superintendents issued a ruling in 1998 that
•
the pastor may name the eligible delegates based on the appropriate chart above.
The following lay delegates have been duly elected to represent our church at the District Assembly
according to Manual 201.1 or 201.2.
LAY DELEGATES
EMAIL
1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
6.
6.
7.
7.
8.
8.
9.
9.
10.
10.
11.
11.
12.
12.