Update Local Society Information

Update Local Society Contact Information

Annual Revenue Exceeds $25,000

 Yes No

Is this Society Incorporated? (If incorporated, please submit a copy of your Articles of Incorporation.)

 Yes No

What is your tax id or EIN?

Local Society Name:

District:

Meeting Address:

Meeting City/State/Zip:

Website Address:

President Information:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

1st Vice President Information:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

2nd Vice President Information:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

Treasurer Information:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

Corresponding Secretary Information:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

Recording Secretary:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

Newsletter Editor:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

CR Coordinator:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

Membership Chair:

First and Last Name:

Address:

City, State, Zip:

Phone:

Cell:

Fax:

Email:

Please list any additional officers and contact information:

Attach Articles of Incorporation: