Alumni Chapter Update Form

Please print or type information.  Please complete form each time chapter information changes (i.e., mailing address, new officers, etc.).  Form must be completed fully.

For Year:

Date:

Chapter Name:

Location:

Mailing Address:

 

Street or P.O. Box

City

State

    Zip

Chapter Web Page:

 

Officers

(Please provide complete information)

President:

Name:

Address:

 

Street or P. O. Box

City

State

 Zip

Email address:

Home Phone:

Work Phone:

Cell Phone:

Vice-President:

Name:

Address:

 

Street or P. O. Box

City

State

      Zip

Email address:

Home Phone:

Work Phone:

Cell Phone:

Secretary:

Name:

Address:

 

Street or P. O. Box

City

State

      Zip

Email address:

Home Phone:

Work Phone:

Cell Phone:

Treasurer:

Name:

Address:

 

Street or P. O. Box

City

State

      Zip

Email address:

Home Phone:

Work Phone:

Cell Phone:

Parliamentarian:

Name:

 Address:

 

Street or P. O. Box

City

State

      Zip

Email address:

Home Phone:

Work Phone:

Cell Phone:

Reporter:

Name:

Address:

 

Street or P. O. Box

City

State

      Zip

Email address:

Home Phone:

Work Phone:

Cell Phone:

 
Other Updates:

 
   

Please return to:
Alumni Relations Office
Institutional Advancement (Old Air Force ROTC Bldg),
100 Robinson St. at RWE Jones Dr.
GSU Box 4204
Grambling State University
Grambling, LA. 71245
Office Phone: 318-274-6265
Fax: 318-274-3330

If you have any questions regarding this form, please call (318) 274-6265.