Name of organization: | |
Mailing Address: | |
City: | State: Zip: |
Any special requirements for membership in your club? |
|
Any club special purposes or goals? | |
Does your club follow normal elections? | |
Are your officers elected annually? | |
Approximate number of years your club has been in existence? |
|
Approximate membership? | |
How often do you conduct meetings? | |
Signature and Title: |       Date: |