EGA-GLR Chapter Officer Listing


Chapter Name: ____________________________________ Effective Date: _______________

Chapter Address: Fill out ONLY if all officers are to receive chapter mail at a permanent address.
If this space is used, do NOT fill out mailing addresses for each officer; provide only names, telephone, fax, and email information.

    Street Address:
    City/State/ZIP:
   
Chapter Website URL: _____________________________________________

President:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Secretary:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Treasurer:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Membership Chair:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Region Rep:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Education Chair:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Vice President:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Newsletter Editor:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Program Chair:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Additional Officers:
 
Title:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Title:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Title:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Title:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 
Title:
ID		 Name
Address
City/State/ZIP
Telephone
FAX
Email
 

 NOTE: Information for the positions in bold face is required. Even if you do not elect a Membership Chair, it is important to provide information for someone responsible for accepting membership information.

Immediately following elections/changes, mail or fax a copy of this form to:
1. EGA 426 West Jefferson Street
Louisville,  KY 40202-3202
Fax (502) 584-7900

2. Region Director      

Updated 2 January 2007; Contact Webmaster
Copyright © 2007 Great Lakes Region of the Embroiderers' Guild of America Inc.
All Rights Reserved