Submission Form for NAME Club Officers

Please submit your club officer information. We need at least the President and other officers as applicable. The President must be a NAME member.

When to  use: If you are submitting your Charter Renewal online, you do  NOT need to use this form. We have combined those two items into  one.

If during the year you have changes in  club officers, please use this form to update the office records.

Fields in RED are required.

Submitter's Name
Submitter's E-Mail
Club Name
Club Charter #
President
   Street
   City, State, Zip
   (area code) Phone
   E-Mail
Vice President
   Street
   City, State, Zip
   (area code) Phone
   E-Mail
Secretary
   Street
   City, State, Zip
   (area code) Phone
   E-Mail
Treasurer
   Street
   City, State, Zip
   (area code) Phone
   E-Mail
Additional Information


 

P.O. Box 69 · Carmel, IN · 46082-0069 · Phone: (317) 571-8094 · Fax: (317) 571-8105