Form 129 Report Of Officer Change - Ambucs
ADVERTISEMENT
1Form 129
Report of Officer Change
This form is used to report a change of officers from those reported on Form 128 at the beginning of the chapter year.
Please complete as changes occur and send to AMBUCS Resource Center • PO Box 5127 • High Point, NC 27262 or fax 336-
852-6830 or go to
Date_________________
Chapter _______________________________________________________
Chapter no.|__|__|__|__|__|
Date of change _____________
Office ____________________________________________________________________________
New officer
First name ___________________________________________
Last name ___________________________________________________________________
Member ID No. |__|__|__|__|__|__|
Suffix (Jr., III) __________________
Nickname _________________________________________________
Home address _________________________________________________________________________________________________________
City _____________________________________________
State |__|__|
Zip |__|__|__|__|__|–|__|__|__|__|
Business address _________________________________________________________________________________________ ____________
City ____________________________________________
State |__|__|
Zip |__|__|__|__|__|–|__|__|__|__|
□
□
Home phone |__|__|__|–|__|__|__|–|__|__|__|__|
Preferred mailing address
Home
Business
Bus. phone |__|__|__|–|__|__|__|–|__|__|__|__| Fax |__|__|__|–|__|__|__|–|__|__|__|__|
Email_____________________________________________________________________________________________________________________
Resigning officer
First name __________________________________
Last name __________________________________________________________
Date of change _____________
Office __________________________________________
New officer
First name ___________________________________________
Last name ___________________________________________________________________
Member ID No. |__|__|__|__|__|__|
Suffix (Jr., III) __________________
Nickname _________________________________________________
Home address _________________________________________________________________________________________________________
City _____________________________________________
State |__|__|
Zip |__|__|__|__|__|–|__|__|__|__|
Business address _________________________________________________________________________________________ ____________
City ____________________________________________
State |__|__|
Zip |__|__|__|__|__|–|__|__|__|__|
□
□
Home phone |__|__|__|–|__|__|__|–|__|__|__|__|
Preferred mailing address
Home
Business
Bus. phone |__|__|__|–|__|__|__|–|__|__|__|__| Fax |__|__|__|–|__|__|__|–|__|__|__|__|
Email_____________________________________________________________________________________________________________________
Resigning officer
First name __________________________________
Last name __________________________________________________________
Distribution: Copies to AMBUCS Resource Center, Secretary, Newsletter Editor, President
Need additional forms?
Go to or Contact
The AMBUCS Resource Center Tel (336) 852-0052
Fax (336) 852-6830
l
PO Box 5127 High Point, NC 27262
l
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business