Event Location (as listed on PPP website):

FOR THE WEB PAGE:

Name of LC to use on website (could be your craft name or your full real name or first name, your choice):

Contact Email for LC to use on website:

Web Page Of Event (if any):

Second web Page Of Event if any (facebook, Yahoo groups, etc.):

Third web Page Of Event if any (facebook, Yahoo groups, etc.):

Group Sponsoring (if any):

FOR OUR CONFIDENTIAL RECORDS:

Real Name:

Postal Mail Address (preferably your home address, can be PO Box):

Home Phone Number(s):

Cell Phone Number(s):

Other Phone Number(s):

OPTIONAL

Contact Email for LC to use on YAHOO LIST (only if different than above).

(we prefer you use one email address for everything, but some people prefer this)

Has your chapter contact information/officers (so-called "GEN info") changed?
Yes No

CHAPTER INFORMATION if changed:

Chapter address:

Officers:

President:

Vice President:

Treasurer:

Secretary:

Other Board Members: