Chapter Vital Stats Form

• Chapter Information

Chapter Name      

Address   

City     State     Zip

Meeting Day & Time

Meeting Location     

Chapter Web Page  

• President

Last Name   First Name

Address  

City     State     Zip

Home Phone      

Work Phone       

Cell Phone        

E-Mail Address

• Membership Closeout Contact

Last Name   First Name

Address  

City     State     Zip

Home Phone      

Work Phone       

Cell Phone        

E-Mail Address

• Treasurer

Last Name   First Name

Address  

City     State     Zip

Home Phone      

Work Phone       

Cell Phone        

E-Mail Address

• Major Chapter Projects

Please list your chapter's three (3) biggest projects and their tentative scheduled dates:

1.   Dates:

2.   Dates:

3.   Dates: