Regional Association Leadership Roster

The Activity Report is intended to give us a snapshot of regional association activities in the past year.

Please complete and return this form by May 5, 2006. If you have any questions, please contact the Regional Affairs staff via Kristin Cass at (609) 258-5830.

Your Name:

Regional Association/Club Name:

Please list the name and class year/affiliation for each of the following positions, if applicable.

President:

Vice President:

Secretary:

Treasurer:

Administrator: