Change of Status - CA Division

Changes in general membership information is done ONCE A YEAR in chapter roster in the yearbook. This form should be used to report deaths, drops, resignations and changes in contact information on CHAPTER OFFICERS. It is particularly important to report a death after the percapita has been paid and the yearbook listings are printed.

This form goes to the Division Registrar, Chaplain, and cc to the President, and may be routed to other appropriate officers if need be. You do NOT need to MAIL a paper copy if you use this online version.

NOTE: This is NOT where you update your YEARBOOK LISTINGS for chapter membership. If the member is a CHAPTER OFFICER, a change in email or phone# should be reported.

Today's Date: *

Name of CHAPTER REPORTING: *

Your Name and your CHAPTER OFFICE *

What type of CHANGE are you reporting? *

Death

Resignation

Chapter Officer's Contact Info

Transfer to new Chapter or Division

NAME OF THE MEMBER you are reporting on: *

For a death: Please give her DATE of DEATH. This report will also be sent to the Memorial Chairman for Convention, as well as to the Magazine. *

For Resignations and Transfers: Mark the appropriate radial button above, and list the DATE of the event you marked. If this is a transfer, also indicate her new Chapter and/or Division. (or mark NA)

Comment Section for anything not covered in the form:

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