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Current Board Term Eg: JAN to DEC 2025 *

Current President Name *

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Current President Email *

Current Secretary Name *

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Current Secretary Email *

President Elect/VP Name *

President Elect/VP Phone *

President Elect/VP Email *

No of Attending Board Members(Including yourself) *

1

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3

4

Organization Logo *

Organization 501c(3) Status Document *

Additional Board Member Names / Comments

Your Organization Vision *

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