Chapter Roster Form

PLEASE SUBMIT THIS FORM BY October 15th

Update your chapter roster by providing the Girlfriends' name, email and phone number.

CHAPTER NAME
CHAPTER PRESIDENT INFORMATION
President's Name*
First Last
President's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
President’s Phone Number*
President’s Email Address*
CHAPTER GIRL FRIENDS FUND LIAISON INFORMATION
Girl Friends Fund Liaison’s Name*
First Last
Girl Friends Fund Liaison’s Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Girl Friends Fund Liaison’s Phone Number*
Girl Friends Fund Liaison’s Email*
CHAPTER TREASURER INFORMATION
Chapter Treasurer's Name*
First Last
Chapter Treasurer's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Chapter Treasurer's Phone Number*
Chapter Treasurer's Email*
CHAPTER SCHOLARSHIP COMMITTEE CHAIR INFORMATION
Chapter Scholarship Committee Chair's Name
First Last
Chapter Scholarship Committee Chair's Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Chapter Scholarship Committee Chair's Phone Number
Chapter Scholarship Committee Chair's Email
CHAPTER PIONEER SCHOLARSHIP CAMPAIGN REPRESENTATIVE INFORMATION
Pioneer Scholarship Campaign Representative’s Name
First Last
Pioneer Scholarship Campaign Representative’s Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Pioneer Scholarship Campaign Representative’s Phone Number
Pioneer Scholarship Campaign Representative’s Email

CHAPTER PRESIDENT INFORMATION