2002-2003 Alumni Chapter Officers List

Form Due: March 1, 2001
Instructions
  • Complete all of the information on this form.
  • Make a hard copy of the completed form.
  • Keep one (1) copy on file for ERP.
  • Send one (1) copy to your Regional Director.
  • Click the Send button, to Send Form to the National Office.
  • Click the Clear button, to Clear the contents of the form.
Region:

CHAPTER INFORMATION
Chapter:

Chapter E-Mail Address:

OFFICER INFORMATION
PRESIDENT:

    Home Address:

    Home City, State Zip:

    Home Phone:

    Work Phone:

    E-Mail:

VICE PRESIDENT:

    Home Address:

    Home City, State Zip:

    Home Phone:

    Work Phone:

    E-Mail:

SECRETARY:

    Home Address:

    Home City, State Zip:

    Home Phone:

    Work Phone:

    E-Mail:

TREASURER:

    Home Address:

    Home City, State Zip:

    Home Phone:

    Work Phone:

    E-Mail:

Comments, Explanations, Additional Information:

Before Proceeding
  • Have you completed and verified all of the information on this form?
  • Have you printed a hard copy for your file?

Leaders for the Next Millenium!