|
HOP BANNER
(if available) |
URL: http://
(image no larger than 300 pixels wide) |
Geographical (city/area)
location of local members:
(brief description of club coverage area for Website)
|
How often club meets:
(monthly, bi-monthly, quarterly, etc.) |
When meetings are held:
(day and time) |
Where meetings are held:
(physical location/address)
|
| Name: |
| Issues published per year: |
| Name of primary charitable organization: |
URL for primary charitable organization:
(if wanted; link will open in a new window) |
Secondary charitable organizations:
(no links)
|
URL: http://
(if club has a Website, link will open in a new window) |
CLUB MAILING ADDRESS
(It is highly suggested that a club use a P.O. Box rather than someone's home address - for Internet security purposes) |
| Postal address for club: |
| City, State, Zip for club: |
Dues per year:
(specify type as applicable) |
Dual/Double/Family rate:
(if applicable, specify type) |
Other rate(s):
(if needed) |
| Name of person to contact for membership queries: |
| Email address: |
| Telephone number: |
CLUB OFFICERS and KEY POSITIONS
(You may wish to include other positions such as Newsletter Editor, Membership Chairperson, etc.)
List each office, officer, and email address |
| President: |
| President's email: |
| Vice President: |
| Vice President's email: |
| Secretary: |
| Secretary's email: |
| Treasurer: |
| Treasurer's email: |
| Newsletter Editor: |
| Newsletter Editor's email: |
| Membership Chairperson: |
| Membership Chairperson's email: |
| Other (specify): |
| Other email: |
| Other (specify): |
| Other email: |
| HOP DELEGATE and ALTERNATE |
| Club delegate: |
| Club delegate's email address: |
| Club alternate delegate: |
| Club alternate delegate's email address: |
DATA COORDINATOR
(Each club is required to maintain a current copy of computer files for file exchange.)
List the club member who will be responsible for the HOP member spreadsheet |
| Data Coordinator: |
| Data Coordinator's email: |
QUESTIONS?
Print and complete the above Authorized Independent Club Information form, and send to the HOP Secretary, or request an Information form by mail from:
HK HOUSE OF PEERS
HOP SECRETARY
4532 SHOAL CREEK CT
ALEXANDRIA VA 22312-3166
INDEPENDENT CLUB GUIDELINES
INDEPENDENT CLUB APPLICATION - NOTICE OF INTENT
INDEPENDENT CLUB APPLICATION
INDEPENDENT CLUB INFORMATION |
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