Annual Business Meeting Report

Should be submitted within 10 days of your annual meeting.

"*" indicates required fields

Chapter*

State/Province*

Reported by Chapter Secretary*

First Last

Name

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Email of Chapter Secretary*

Email notification of this form will be sent to the above address.

Date of Meeting*

Site of Meeting*

Date of Meeting*

Site of Meeting*

Chapter Officers Elected

President*

First Last

President Email*

President Phone*

Vice President*

First Last

Vice President Email*

Vice President Phone*

Secretary*

First Last

Secretary Email*

Secretary Phone*

List New Members

Member Name

List New Honorary Members

Name

Please Note:

Please ensure that all candidates initiated into active membership have been entered into your chapter database on the PBM International website.
Please ensure that the records for elected Chapter Officers are accurate.