R05 Officers Directory Update - September 2017
First Name
Please enter your First Name / Given Name
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Last Name
Please enter your your Last Name (your family name / surname)
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Preferred Name
Please enter your Full, Preferred Name for printing on Name Tags / Name Badges during Sai Events
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Gender
Please select your gender; this information is only used for special event seating or accommodation purpose
Email Address
Please enter your full email address that you use regularly.
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Primary Contact Phone
Please enter your primary contact phone number : example: 800-555-1212
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Secondary Contact Phone
Please enter your secondary contact phone number : example: 800-555-1212
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Sai Center or Sai Group
Please select the Sai Center or Sai Group you belong to or go to (regardless of frequency of visits or formality of membership
Sai Center or Sai Group (if not listed above)
Please enter the Sai Center or Sai Group you belong to or go to (regardless of frequency of visits or formality of membership
Your answer
Is yours a Sai Center or a Sai Group?
Please state if yours is a Sai Center or Sai Group
Home Address
Please enter your Home Address (Street Address inlcuding any Unit # or Apt#)
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Home City
Please enter your Home City
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Home State
Please enter your Home State (2 letter State codes)
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Home ZIP / Postal Code
Please enter your Home ZIP code / Postal Code
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Age Group
Please select your Age Group
New Role in Sai Center / Sai Group (2017 - 2019 term)
Please select your Role in your Sai Center / Sai Group (you may select multiple boxes if you play multiple roles)
Required
Please enter any Additional Information
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