NAME OF ASSOCIATION
PRESIDENT
Name Phone Email
PRESIDENT-ELECT
EXECUTIVE DIRECTOR
BAR YEAR (ex June 30 - July 1) NUMBER OF MEMBERS GEOGRAPHICAL AREA OR MEMBERSHIP SPECIALTY/EMPHASIS WEBSITE ADDRESS
ANNUAL EVENT(S) (Meetings and/or Social Events) FUNDRAISING AND NON-DUES REVENUE PROGRAMS CURRENT PROGRAMS OF THE ASSOCIATION (CLE, Public Service, Other) AREA(S) ASSOCIATION IS WILLING TO SERVE AS RESOURCE TO OTHER ASSOCIATIONS AREA(S) ASSOCIATION WOULD LIKE ASSISTANCE IN FROM OTHER ASSOCIATIONS