Report New Chapter – Union of Black Episcopalians

UBE: Report of New Chapter Officers

Current Year

Name of Chapter:

Reporter:

PRESIDENT

President Name

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number

Cell Phone Number

Primary Email

Date Term Begins

Date Term Ends

VICE PRESIDENT

Vice President Name

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number

Cell Phone Number

Primary Email

Date Term Begins

Date Term Ends

TREASURER

Treasurer Name

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number

Cell Phone Number

Primary Email

Date Term Begins

Date Term Ends