Colorado Mammography Society Volunteer Sign Up Sheet

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Colorado Mammography Society
Volunteer Sign Up Sheet
I would like to volunteer for the following committees and/or positions with the
Colorado Mammography Society
Name: ____________________________________________________________________________________
Address, City, St, Zip: ________________________________________________________________________
Phone Home: _____________________ Cell: _____________________ Work: ________________________
E-mail: ______________________________________________________________________________________
Employer (optional): ________________________________________________________________________
Preferred method(s) of contact: _____________________________________________________________
Officers:
President _____ Vice President _____ Secretary ______ Treasurer ______
Board/Committees:
Membership Coordinator ______ Education Coordinator ______ Parliamentarian _____
Newsletter/Marketing _____
Conferences:
Host a conference: _______ Location: ________________________________________________________
Contact for conference site: _________________________________________________________________
Conference committee:
Be a speaker: ___________ Topic _____________________________________________________________
Arrange a speaker: ______ Speaker name: ______________________ Topic ________________________
Gift bags: ______ Vendors: ______ Meals: _____
Other meetings and networking:
Arrange Meet and Greet/networking gatherings ______ Location: ____________________________
Any other way you can help? ________________________________________________________________
Return this form to: CMS Secretary Tammy Dirienzo, 4189 S. Washington St., Englewood, CO 80113

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