Chapter:
*
Your name:
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Your email:
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Just in case we need to get in touch regarding any of these changes.
Chapter President:
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Chapter VP:
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Chapter Treasurer:
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Chapter Chair:
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Chapter Secretary:
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Chapter Primary/General Email Contact (name and email):
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Chapter Social Media Contact (name and email):
Chapter Website Contact (name and email):
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Chapter Newsletter Editor (name and email):
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If applicable, where would you like your chapter dues checks sent?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Additional updates or comments:
If you have any updates or other comments that aren't covered above, let us know here what they are.
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