District Committee Chair Appointments

Name of Person Submitting Report*

Email of Person Submitting Report*

example@example.com

District*

Legion Year*

List the address where Legion-related mail should be sent. Please provide all chairpersons’ personal mailing addresses, email addresses, and phone numbers as opposed to a Post address. It is important that we can contact all chairpersons at their preferred personal addresses.

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone Number*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone *

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes - We have a chairperson

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

NoYes

Name*

Member ID Number*

Address*

Street Address

Street Address Line 2

City & State

Zip Code

Phone*

Format: (000) 000-0000.

Email*

example@example.com

DISTRICT COMMANDER’S SIGNATURE*

DATE*

Date

Please submit this form NLT 30 days after being voted into office or the Department Convention. This is the only official document authorized to report your District appointments to Department Headquarters. No other forms of communication of initial appointments will be accepted.

District Committee Chair Appointments

BOY SCOUTS

CHILDREN & YOUTH

DISASTER PREPAREDNESS

EDUCATION

EVERGREEN BOYS STATE

JUNIOR SHOOTING SPORTS

LAW & ORDER

LEGION RIDERS

ORATORICAL CONTEST

PUBLIC RELATIONS

SAL ADVISOR

SPECIAL OLYMPICS

DISTRICT SERVICE OFFICER