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1. Chapter Name: (Required.)

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2. Local Chapter Advisor Name: (Required.)

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3. Local Chapter Advisor Email: (Required.)

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4. Which State Executive Council Member would you like to request to attend your meeting or event? (Required.)

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5. Please provide the date and time of your event: (Required.)

Date
Time

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7. How many members / people will be attending your event? (Required.)

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8. Would you like the Executive Council Member to attend virtually or in-person? (Required.)

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9. What will your expectations be for the State Executive Council member? For example, will you want them to present on a certain topic, give a speech, etc. (Required.)

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10. Is your chapter willing or able to pay any expenses the Executive Council Member may incur related to fuel and/or meals? (Required.)

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