Delegate Update Form - USTA Florida

Do you need to update your Delegate contact information? Please fill out the form below.

A. Rights

Organization Members shall have one (1) delegate and one (1) vote per delegate.
Delegates – Each delegate shall be appointed or elected in accordance with each

Organization Member’s policies provided:
a. Each delegate and the organization the delegate represents shall be a current member of the USTA.
b. Each delegate must be at least nineteen (19) years of age.
c. Each delegate may only be a delegate for one Organization Member
Alternate Delegates – An alternate delegate may be named by the Organization Member in the event a registered delegate is unable to serve and must meet the same qualifications of a delegate.
Organization Members and delegates are entitled to notice of all meetings of the membership. Delegates are entitled to be present and vote at all meetings of the membership.
Individual Members are entitled to be present at all meetings of the membership but shall have no voting rights.

For questions about this form, please contact Lynne Salus.

Member Organization
Organization Name*
Website
USTA Number*
Expiration Date*
MM slash DD slash YYYY
Contact First Name*
Contact Last Name*
Title*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
example@example.com
Enter Email Confirm Email
Delegate #1 Information
All Member Organizations are entitled to 1 delegate and 1 alternate delegate. Please complete the fields below for Delegate #1.
Name - Delegate #1*
USTA Number*
Expiration Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Cell Phone*
Email*
example@example.com
Enter Email Confirm Email
Delegate #1A Information
All Member Organizations are entitled to 1 delegate and 1 alternate delegate. If you have designated an alternate delegate, please complete the fields below.
Name - Delegate #1A
USTA Number
Expiration Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State ZIP Code
Cell Phone
Email
example@example.com
Enter Email Confirm Email
By checking the box below, I agree the information submitted on this form is accurate.*
Yes

Delegate Contact Information