Round 1: 2023 Regional Society Officers Form

2023 Regional Society Officers List

Please fill out this form as completely as possible. This information is used to update officer assignments in SGNA’s database as well as our contact lists, so please ensure the information is reflective of your 2023 regional officers. If you have any changes or additions to make to your officer list after submitting the form please call 312.321.5165 or email info@sgna.org to update when available.

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* 1. Region Name/Number

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* 2. President

First and Last Name

Membership ID Number

e-mail

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* 3. President-Elect

First and Last Name

Membership ID Number

e-mail

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* 4. Immediate Past President

First and Last Name

Membership ID Number

e-mail

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* 5. Treasurer

First and Last Name

Membership ID Number

e-mail

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* 6. Secretary

First and Last Name

Membership ID Number

e-mail

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* 7. Legislative Liaison

First and Last Name

Membership ID Number

e-mail

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* 8. Other Officers

Position/Office

First and Last Name

e-mail

Membership ID Number

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* 9. Other Officers

Position/Office

First and Last Name

e-mail

Membership ID Number

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* 10. Other Officers

Position/Office

First and Last Name

e-mail

Membership ID Number

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* 11. Other Officers

Position/Office

First and Last Name

e-mail

Membership ID Number

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* 12. Other Officers

Position/Office

First and Last Name

e-mail

Membership ID Number

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* 13. Include any additional officers not listed above in the comment box

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* 14. Please upload the most recent version of your Regional Bylaws

Preferred but not required

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File