New Chapter Formation Application

* Full Name
* Company Name
*Company Address
*e-mail address
*Phone
*Fax
*City & ST of new Chapter
*Proposed Chapter Name
*List of Officers (Note President, VP, Secretary or Treasurer after name)
* Give a short narrative as to why a chapter is needed/desired in your area, demographics of local companies who will support the chapter and the number of inital members for your Charter.
*State your funds availability in starting a Chapter. (Note that all new Chapters will receive $1,000 seed money from the current Chapters, once the application is approved.)