PLEASE SUBMIT THIS FORM BY October 15th Chapter Roster Form Update your chapter roster by providing the Girlfriends' name, email and phone number. CHAPTER NAMEChapter SelectionAlbanyAtlantaBaltimoreBirminghamBostonBrooklynBuffaloCaliforniaCharlotteChicagoCincinnatiClevelandColumbiaColumbusDallasDetroitDurhamFairfield CountyGolden StateGreenvilleHoustonLas VegasLoudoun CountyLouisvilleMemphisMiamiMilwaukeeMinneapolis/St. PaulNashvilleNew HavenNew JerseyNew OrleansNew YorkNewport NewsNorfolkOrlandoPhiladelphiaPittsburghPotomacRichmondRoanokeSan DiegoScottsdaleSeattleSpringfieldSt. LouisToledoTrentonWashingtonCHAPTER PRESIDENT INFORMATIONPresident'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 INFORMATIONGirl 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 INFORMATIONChapter 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 INFORMATIONChapter 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 NumberChapter Scholarship Committee Chair's Email Δ
