Member Group Committee - Update Form - Dragons Abreast Australia

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Member Group Committee – Update Form

DAA Group Name*
Group Email Address*
Group Postal Address*
Coordinator Name*
Coordinator Email Address*
Coordinator Mobile Phone*
Coordinator Home Phone
Secretary Name*
Secretary Postal Address
Secretary Email Address*
Secretary Mobile Phone*
Secretary Home Phone
President / Vice Coord Name
President / Vice Coord Email
President / Vice Coord Phone
Treasurer Name*
Treasurer Email*
Treasurer Phone*
Select which role you would like added as a second contact to your group.*
The second contact will receive a copy of all emails sent to your group's dragonsabreast.com.au email address.
Other Committee Members
Provide the name, email address and phone number for any other roles you have on your committee.
Total members including supporters*
Number BC Survivors*
Other Comments
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