Please Fill Up The Form Below With Your Member's Details
Board Member Purchasing Membership
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Non-Profit Organisation
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Board Chair or Board President: Name
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First
Last
Board Chair or Board President: Email
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Member 2: Name
First
Last
Member 2: Email
Member 2: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 3: Name
First
Last
Member 3: Email
Member 3: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 4: Name
First
Last
Member 4: Email
Member 4: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 5: Name
First
Last
Member 5: Email
Member 5: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 6: Name
First
Last
Member 6: Email
Member 6: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 7: Name
First
Last
Member 7: Email
Member 7: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 8: Name
First
Last
Member 8: Email
Member 8: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 9: Name
First
Last
Member 9: Email
Member 9: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
Member 10: Name
First
Last
Member 10: Email
Member 10: Position
President/Chair
Past President/ Past Chair
Vice President/ Chair Elect
Treasurer
Secretary
Member of the Board of Directors
Others
