New Board Information

New Board Information

Please note: Insurance and IRS regulations require that the FSDPL office maintain current information as to chapter officers and all voting board members. Please submit this completed form within 30 days of any changes to the chapter's officers.

Contact Person

(who to contact with questions)
Contact Person Name
Contact Person Name
First Name
Last Name

Position Updates

Please provide names and information for all board members and indicate the position held (e.g., Membership, Publicity, Book Sale Chair, . . .) If updating multiple positions, enter the additional position information by filling out a new form.
Board Member's Name
Board Member's Name
First Name
Last Name
e.g., Membership, Publicity, Book Sale Chair, . . .
Board Member's Address
Board Member's Address
City
State/Province
Zip/Postal
Car Insurance?
(this question is required by our insurance company)