| Chapter:
Effective Date:
Chapter Address: Fill out only if all
officers are to receive chapter mail at a permanent address. If this
space is used, do not fill out resident addresses for each officer; give
only their names, telephone, fax and e-mail numbers.
Street Address:
City, State, Zip:
Please list an e-mail address
for each officer if possible. |
| President
EGA Number
Term
|
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Region Rep
EGA Number
Term
|
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Treasurer
EGA Number
Term |
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Newsletter
EGA Number
Term
|
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Education
EGA Number
Term
|
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Vice President
EGA Number
Term
|
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Community Outreach
EGA Number
Term
|
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Secretary
EGA Number
Term
|
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Membership*
EGA Number
Term |
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
| Other Officers
EGA Number
Term |
Name:
Street Address:
City, State, Zip:
Telephone: Fax
E-mail: |
|
*Note: Please complete the
Membership Chairman area even if you do not elect such a chairman.
We must have someone responsible for accepting membership data.
When you click the Submit button, this
form is e-mailed to EGA National and to the South Central Region.
If you wish to mail a copy of the
completed form, please send it to:
The Embroiderer's Guild of America, Inc.
426 West Jefferson Street
Louisville, KY 40202-3202
Any questions about
completing this form please contact Sharon
Davis. |