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Please complete all fields for each Member. Only members with Date of Birth can be counted toward membership totals.
If the member is on your chapter's board, please indicate the date of their election. For members, please leave that field blank.
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CHARTER NAME:
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#First NameLast NamePositionElection Date
(If Applicable)
Date of BirthEmail AddressCityZipPhone NumberEmail Address
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1ShaySmithVice PresidentOctober 3, 2019
404-374-4813
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