(THIS IS A FILL-IN FORM, DOUBLE-CLICK THE GRAY BOX & ENTER TEXT/#, ENTER) CHAPTER REGISTRATION Please complete the following. CHAPTER: PRESIDENT: President Complete MAILING ADDRESS: CITY: ZIP CODE: Mailing Address: President BEST TIME TO CALL: CELL Phone: President PLEASE INDICATE AN E-MAIL ADDRESS EXCLUSIVE TO YOU AND ONE THAT THE OCJAAF CAN USE ON E-MAIL Address: A REGULAR BASIS FOR COMMUNICATIONS. THANK YOU. Chapter TITLE / POSITION: REPRESENTATIVE: Representative MAILING ADDRESS: CITY: ZIP CODE: Complete Mailing Address: HOME PHONE CELL PHONE Representative Phone Number: Representative CHECK HERE IF YOU WISH TO INCLUDE YOUR REP’S E-MAIL ON THE COMMISSIONER’S LIST FOR COMMUNICATIONS, AND ALSO FOR ACCESS TO THE PRESIDENT WEB PAGE. E-Mail Address: Chapter NEW ADDRESS EXISTING ADDRESS Web Site Address: Chapter NEW ADDRESS EXISTING ADDRESS Facebook Address: Chapter Registration Phone Number: PLEASE DO NOT TURN IN IF NOT FULLY COMPLETED. THANK YOU FOR YOUR COOPERATION! CHAPTER 2017 Please List Board Members for Your Chapter Below. Double-Click the gray box & enter data. CHAPTER: PHONE TITLE NAME E-MAIL ADDRESS NUMBER
(THIS IS A FILL-IN FORM, DOUBLE-CLICK THE GRAY BOX & ENTER TEXT/#, ENTER) CHAPTER REGISTRATION Please complete the following. CHAPTER: PRESIDENT: President Complete Mailing Address: MAILING ADDRESS: CITY: ZIP CODE: President CELL Phone: BEST TIME TO CALL: President E-MAIL Address: PLEASE INDICATE AN E-MAIL ADDRESS EXCLUSIVE TO YOU AND ONE THAT THE OCJAAF CAN USE ON A REGULAR BASIS FOR COMMUNICATIONS. THANK YOU. Chapter REPRESENTATIVE: TITLE / POSITION: Representative Complete Mailing Address: MAILING ADDRESS: CITY: ZIP CODE: Representative Phone Number: HOME PHONE CELL PHONE Representative E-Mail Address: CHECK HERE IF YOU WISH TO INCLUDE YOUR REP’S E-MAIL ON THE COMMISSIONER’S LIST FOR COMMUNICATIONS, AND ALSO FOR ACCESS TO THE PRESIDENT WEB PAGE. Chapter Web Site Address: NEW ADDRESS EXISTING ADDRESS Chapter Facebook Address: NEW ADDRESS EXISTING ADDRESS Chapter Registration Phone Number: PLEASE DO NOT TURN IN IF NOT FULLY COMPLETED. THANK YOU FOR YOUR COOPERATION! CHAPTER 2017 Please List Board Members for Your Chapter Below. Double-Click the gray box & enter data. CHAPTER: TITLE NAME E-MAIL ADDRESS PHONE NUMBER
chapterregistrationform.docx