Membership Recruitment Activity Report Survey

1.Provide your information:

Name

Organization

Job Title

State/Province

Chapter

Email Address

Member Since

2.Please list the organizations who joined ACT as a result of your encouragement. Please format responses as "Organization Name, Year Recruited"

Organization 1

Organization 2

Organization 3

Organization 4

Organization 5

Organization 6

Organization 7

Organization 5

Organization 8

Organization 9

Organization 10

Organization 11

Organization 12

Organization 13

Organization 14

Organization 15

Organization 16

Organization 17

Organization 18

Organization 19

Organization 20

Organization 21

Organization 22

Organization 23

Organization 24

Organization 25

Organization 26

Organization 27

Organization 28

Organization 29

Organization 30

Organization 31

Organization 32

Organization 33

Organization 34

Organization 35

Thank you for encouraging new members to join!

Membership Recruitment Activity Report