Officer Change Form Page – CFMS – California Federation of Mineralogical Societies

Directors, please keep your club’s information up to date. To ensure your club/society’s listing in the annual roster, we must have this information on or before March 31 of the current year. Please note that your club/society’s permanent mailing address, as well as one telephone/e-mail contact, will be published. If you wish that addresses of those members not be published, provide only the addresses of those members who are designated to receive the newsletter.

Society Name

Society Mailing Address

Address Line 1

Address Line 2

City

State

Zip Code

Website Address

Society Contact Phone Number

Society Email

Society President

First

Last

Society V.P.

First

Last

Society Secretary

First

Last

Society Treasurer

First

Last

Society Federation Director

First

Last

Federation Director Address

Address Line 1

Address Line 2

City

State

Zip Code

Federation Director Phone Number

Federation Director Email

Society Editor

First

Last

Editor's Address

Address Line 1

Address Line 2

City

State

Zip Code

Editor's Phone Number

Editor's Email

Programs

First

Last

Meeting Place

Address Line 1

Address Line 2

City

State

Zip Code

Day and Time of Meeting *

Name of Bulletin

Number of Members

Year Society Started

Does your club have Junior members

Yes, we have Junior members
No, we do not have Junior members

Please indicate which person to send the third copy of the bulletin to

Each Club/Society is entitled to three (3) free copies of the CFMS Newsletter. We like to send one (1) copy to the Federation Director at his/her house with all Federation mail, one (1) copy to the Bulletin Editor and the third copy to whomever you wish to receive it.

Signed By *

First

Last

Phone

Phone number for person signing this document

Email address for person signing this document