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2019 LKS Annual Convention!

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Collegiate Officer Roster Form

Submission Deadlines: 9/15 and 4/30

CHAPTER INFORMATION

Chapter
School Name
Submitter Full Name
Your Title (President, Secretary, Treasurer, outgoing President, etc.)
Submitter's Email
Election date
Officers in effect from
Officers in effect until
Mailing Contact (to whom packages should be addressed)
Mailing Address 1 (where items will be shipped during the school year)
Mailing Address 2
Mailing Address 3
Mailing Address City
Mailing Address Postal Code
Mailing Address State/Province

PRESIDENT

President's First Name
President's Last Name
President's Graduation Date
President's Email

VICE PRESIDENT

Vice President's First Name
Vice President's Last Name
Vice President's Graduation Date
Vice President's Email

TREASURER

Treasurer's First Name
Treasurer's Last Name
Treasurer's Graduation Date
Treasurer's Email