Officers:
President: ______________________________________________
Vice-President:__________________________________________
Secretary:______________________________________________
Treasurer:______________________________________________
State Delegate:___________________________________________
State Delegate:___________________________________________
Contact Name:______________________________________________
Address:________________________________________________
City/Zip Code:___________________________________________
Phone: _________________________________________________
E-Mail/Fax______________________________________________
Membership Meetings:
Usual Time:_____________________________________________
Usual Place:_____________________________________________
__________________________________________________
__________________________________________________
Dues:_______________________________________________
Activities:___________________________________________________
_______________________________________________________
_______________________________________________________
Anything else you would like to have known:_________________
Return to Chapters_______________________________________________________
_______________________________________________________