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FORM C - NAEMSP Chapter Annual Report
Due Annually - July 1
Chapter Name
*
Period (current month/year)
Current Officers
President
Vice Pres/Pres Elect
Immediate Past President
Secretary
Treasurer
Members-At-Large/Other
Members-At-Large/Other
Members-At-Large/Other
Current Chapter Information
Number of Members
A listing members must also be submitted. Please upload your chapter membership listing.
Chapter Meetings During the Year. Please provide dates.
Chapter Accomplishments:
Chapter Goals/Initiatives:
File Upload
Attach any educational program material, media coverage, etc.
Submitted by
Date Submitted
MM
/
DD
/
YYYY