Documents/ChapterEvents/Chapter Directory Form
AFS CHAPTER OFFICERS & DIRECTORS for 2015-16 CHAPTER SUBMITTING FORM ________________________________________________________________
NOTE:
If any of the Officers or Directors hold dual positions, there is no need to duplicate the information. Once you have provided all the information requested, you only need to fill in the name of the person holding the position.
A.
CHAPTER CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
B.
VICE CHAIRMAN (1ST VICE CHAIRMAN) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
C.
2ND VICE CHAIRMAN (if applicable) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________ (continued)
AFS Chapter Officers & Directors for 2015-16 – p. 2 D.
SECRETARY Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
E.
SECRETARY – TREASURER (if applicable) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
F.
TREASURER Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 3
G.
MEMBERSHIP CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
H.
EDUCATION CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
I.
PROGRAM CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 4
J.
PUBLICITY CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 5
K.
DIRECTORS (Term Expires 2016) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 6
L.
DIRECTORS (Term Expires 2017) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 7
M.
DIRECTORS (Term Expires 2018) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
NAME OF PERSON COMPLETING FORM:
Name__________________________________________________________________________________________ (Please Print)
NOTE:
If any of the Officers or Directors hold dual positions, there is no need to duplicate the information. Once you have provided all the information requested, you only need to fill in the name of the person holding the position.
A.
CHAPTER CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
B.
VICE CHAIRMAN (1ST VICE CHAIRMAN) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
C.
2ND VICE CHAIRMAN (if applicable) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________ (continued)
AFS Chapter Officers & Directors for 2015-16 – p. 2 D.
SECRETARY Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
E.
SECRETARY – TREASURER (if applicable) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
F.
TREASURER Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 3
G.
MEMBERSHIP CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
H.
EDUCATION CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
I.
PROGRAM CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 4
J.
PUBLICITY CHAIRMAN Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 5
K.
DIRECTORS (Term Expires 2016) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 6
L.
DIRECTORS (Term Expires 2017) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
(continued)
AFS Chapter Officers & Directors for 2015-16 – p. 7
M.
DIRECTORS (Term Expires 2018) Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
Name________________________________________________Bus.Title___________________________ Company_______________________________________________________________________________ Address________________________________________________________________________________ City_________________________________ State/Prov.______________ Zip/Postal Code_____________ Phone No._________________________________ Fax No.______________________________________ E-Mail: ________________________________________________________________________________
NAME OF PERSON COMPLETING FORM:
Name__________________________________________________________________________________________ (Please Print)
