Annual Report Cover Page

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For NSS use: ____________
ANNUAL REPORT COVER PAGE
_______________________
AR~1
(Please use this form. Return to NSS Headquarters no later than by February 15)
Chapter Name:
Address of Record*
City/State/Zip:
Phone Number:
Fax Number:
Email Address:
*This is your chapter’s publicly-listed address. It will be printed in Ad Astra magazine and other
NSS publications and will be posted on the NSS Web site. It will also be made available to the
public and the media. If there are any changes, please notify the NSS Membership Director
immediately, or use the Web forms at URL
President/Contact Name:
Address:
City/State/Zip:
Phone Number:
Fax Number:
Email Address:
Newsletter Name:
Editor/Contact Name:
Address:
City/State/Zip:
Phone Number:
Fax Number:
Email Address:
Chapter Bylaws Status (Please check one)
) Our Bylaws have not changed in the past fiscal year, therefore a copy is not attached.
(
) Our Bylaws have changed in the past fiscal year and a copy is attached
(
Chapter IRS Employee Identification Number (EIN): __
__
) A one-page (or more) Chapter Activities Report is attached
(
) A current Chapter Memebership list is attached
(
- more -

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