Please type or print
clearly. Use extra sheets
if necessary.
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Chapter Name
_________________________________________________________________________ |
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City & State & Zip
________________________________________________________________ |
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Primary E-mail
address for chapter
___________________________
Contact
_________________ |
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Chapter Website (if
applicable)
______________________________________________________
Regular meeting day,
time, location
___________________________________________________ |
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*Chapter
President
_______________________________________________ |
Change
Yes No |
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Address________________________ |
City_______________ |
State ____ |
Zip _________ |
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Telephone:
_________________________ |
E-mail:
____________________________ |
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*Chapter Vice
President
_______________________________________________ |
Change
Yes No |
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Address________________________ |
City_______________ |
State ____ |
Zip __________ |
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Telephone:
_________________________ |
E-mail:
___________________________ |
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**Chapter
Secretary
_______________________________________________ |
Change
Yes No |
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Address___________________________ |
City_______________ |
State ____ |
Zip __________ |
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Telephone:
_________________________ |
E-mail:
_________________________________ |
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**Chapter
Treasurer
_______________________________________________ |
Change
Yes No |
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Address___________________________ |
City_______________ |
State ____ |
Zip __________ |
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Telephone:
_________________________ |
E-mail:
____________________________ |
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**Chapter
Reporter
_______________________________________________ |
Change
Yes No |
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Address___________________________ |
City_______________ |
State ____ |
Zip __________ |
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Telephone:
_________________________ |
E-mail:
____________________________ |
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***Chapter
Chaplain
_______________________________________________ |
Change
Yes No |
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Address___________________________ |
City_______________ |
State ____ |
Zip __________ |
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Telephone:
_________________________ |
E-mail:
____________________________ |
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Please submit via
e-mail to
cwb4christ@cowboysforchrist.net
if possible or mail
to Cowboys for
Christ at PO Box
7557, Fort Worth,
Texas 76111
*Required – may
not be a pastor or
hold another
position
**Required – may
not be a pastor, may
hold 2 positions
*** May be a
pastor |
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