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FLORIDA COUNCIL OF CHAPTERS
Military Officers Association of America

 

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  Roster Information Form

Complete and send this form to the Council Secretary to include names of the President and Secretary for the upcoming year, even if they have not been installed, NLT 1 January each year and any changes thereafter during the year. NOTE: If there are no changes you may so indicate on this form or contact Council Secretary.  After completing the form, click on the SUBMIT button at the end of the form.    It will be sent  to the Secretary by e-mail.

Important Note: In order for the form below  to work, you must have signed on to this home page using:   https://www.MOAAfl.org.   If you omitted the "www" in the URL, the information you enter below will not be sent to teh secretary when you press the "Submit" button.  If you signed on using  "https://MOAAfl.org" , please sign on again with the "www".

CHAPTER/CLUB:

CHANGES LISTED BELOW: YES     NO 

CHAPTER/CLUB ADDRESS:                              

NUMBER OF MEMBERS (AS OF 31 DEC. PREVIOUS YEAR)       

CHAPTER/CLUB PRESIDENT

NAME, RANK, SERVICE             

ADDRESS:                                 

TELEPHONE NUMBER (HOME)       

MAIL ADDRESS (IF NO E-MAIL ADDRESS PLEASE PROVIDE E-MAIL ADDRESS OF CHAPTER/CLUB CONTACT):        

 SPOUSE'S NAME                                    

CHAPTER/CLUB SECRETARY

NAME, RANK, SERVICE             

ADDRESS:                    

TELEPHONE (HOME)                   

E-MAIL ADDRESS                         

SPOUSE'S NAME                     

CHAPTER/CLUB MEETINGS

MEETINGS HELD AT    

(TIME) ON        (DAY) 

THE     (WEEK OF MONTH),

EXCEPT DURING      (MONTHS) WHEN NO MEETING(S) IS/ARE HELD.

CHAPTER/CLUB INSTALLATION NORMALLY HELD IN     MONTH.

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