Round 1: Regional Society Data Sheet 2019 Regional Society Officers Contact List Please fill out the form below as completely as possible. OK Question Title * 1. Region Name/Number OK Question Title * 2. President First and Last Name Membership ID Number e-mail OK Question Title * 3. President-Elect First and Last Name Membership ID Number e-mail OK Question Title * 4. Immediate Past President First and Last Name Membership ID Number e-mail OK Question Title * 5. Treasurer First and Last Name Membership ID Number e-mail OK Question Title * 6. Secretary First and Last Name Membership ID Number e-mail OK Question Title * 7. HOD Delegate First and Last Name Membership ID Number e-mail OK Question Title * 8. HOD Alternate First and Last Name Membership ID Number e-mail OK Question Title * 9. Legislative Liaison First and Last Name Membership ID Number e-mail OK Question Title * 10. Other Officers Position/Office First and Last Name e-mail Membership ID Number OK Question Title * 11. Other Officers Position/Office First and Last Name e-mail Membership ID Number OK Question Title * 12. Other Officers Position/Office First and Last Name e-mail Membership ID Number OK Question Title * 13. Other Officers Position/Office First and Last Name e-mail Membership ID Number OK Question Title * 14. Other Officers Position/Office First and Last Name e-mail Membership ID Number OK Question Title * 15. Include any additional officers not listed above in the comment box OK Question Title * 16. Please upload the most recent version of your Regional Bylaws DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File Please upload the most recent version of your Regional Bylaws OK DONE