Update Chapter Profile & Officers Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name of Person reporting changes *FirstLastEmail *Local Chapter Name *My role reporting these Chapter changes is: (choose one) *PresidentVice PresidentSecretaryTreasurerRegional Chapter Care RepresentativeOther RoleIf other role, please explainTotal Dues Paying Members at Calendar Year End1A. Change Chapter President's nameFirstLast1B. New President's Telephone (123-456-7890)1C. Updated President's Email1D. President/Chair OPT IN/OUT for official PTWW emails *YES - send official PTWW emails to him!NO - do not send official PTWW email to this inboxNO - do not contact me - I want to be dropped from all PTWW communications2A. Change Vice President's nameFirstLast2B. New Vice President's Telephone (123-456-7890)2C. Updated Vice President's Email2D. VicePresident/Vice Chair OPT IN/OUT for official PTWW emails *YES - send official PTWW emails to him!NO - do not send official PTWW email to this inboxNO - do not contact me - I want to be dropped from all PTWW communications3A. Change Chapter Secretary NameFirstLast3B. New Secretary's Telephone (123-456-7890)3C. Updated Secretary's Email3D. Secretary OPT IN/OUT for official PTWW emails *YES - send official PTWW emails to him!NO - do not send official PTWW email to this inboxNO - do not contact me I want to be dropped from all PTWW communications4A. Change Chapter Treasurer nameFirstLast4B. New Treasurer's Telephone (123-456-7890)4C. Updated Treasurer's Email4D. Treasurer OPT IN/OUT for official PTWW emails *YES - send official PTWW emails to him!NO - do not send official PTWW email to this inboxNO - do not contact me - I want to be dropped from all PTWW communications5A. Change Newsletter Editor's nameFirstLast5B. New Editor's Telephone (123-456-7890)5C. Updated Newsletter Editor's Email5D. Newsletter Editor OPT IN/OUT for official PTWW emails *YES - send official PTWW emails to him!NO - do not send official PTWW email to this inboxNO - do not contact me - I want to be dropped from all PTWW communications6A. Change Web Guy's nameFirstLast6B. New Website Admin Telephone (123-456-7890)6C. Updated Website Admin Email6D. Web Guy OPT IN/OUT for official PTWW emails *YES - send official PTWW emails to him!NO - do not send official PTWW email to this inboxNO - do not contact me - I want to be dropped from all PTWW communications7. Updated Official Chapter Email8. Updated Chapter PO/mailing addressPO/Street, PROV/ST, Postal/Zipcode9. Updated Chapter TelephoneVoice mail 10. Other Chapter update detailsPlease identify any other new chapter changes.Date / Time *DateTimeSubmit