W-V-NORML Affiliate Year End Report form

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Willamette Valley NORML Affiliate Year End Report form page.

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Year End Report - 2009

Public Information - to be displayed at NORML.org/Chapters (* = REQUIRED)

*CHAPTER NAME:
*MAILING ADDRESS:
*CITY, STATE ZIP:
*PHONE:		Fax:
*WEBSITE:		Myspace:
Twitter:		Facebook:
*CHAPTER EMAIL:
*CHAPTER CONTACT:		Cell Phone:

BOARD OF DIRECTORS – for internal NORML use only (* = REQUIRED)

*NAME:		*EMAIL:
*TITLE:		*CELL PHONE:
*NAME:		Email:
*TITLE:		Cell Phone:
*NAME:		Email:
*TITLE:		Cell Phone:
*NAME:		Email:
*TITLE:		Cell Phone:
*NAME:		Email:
*TITLE:		Cell Phone:
Name:		Email:
Title:		Cell Phone:
Name:		Email:
Title:		Cell Phone:
Name:		Email:
Title:		Cell Phone:
Name:		Email:
Title:		Cell Phone:

CHAPTER OPERATIONS (* = REQUIRED)

Dates (e.g. Jan 12, 4/20) or occurrences (e.g. every 2nd Sat.) your chapter held meetings open to the general public:*
*Were minutes recorded?	(YES) (NO)

Dates or occurrences your chapter held meetings for medical marijuana patients and caregivers only:
*Were minutes recorded?	(YES) (NO)

*Dates or occurrences your chapter held its mandatory board meetings as required by state law / campus charter:
*Were minutes recorded?	(YES) (NO)

Special events your chapter held (e.g., tabling at a concert, holding a screening, demonstrating, etc.):

Media reports on your chapter (coverage of events, quotes from leaders, etc.) in print, radio, and TV:

*Details of most recent Chapter Elections: Please submit on a separate page the date and results of your elections, assuming your bylaws required an election in 2009. Include names of people who ran for election, the office they were competing for, and the results of the voting. If candidates ran unopposed, just note “unopposed” and if they were elected by voice vote, note “voice vote”.

Please circle one choice: (ELECTIONS RESULTS SUBMITTED)
(NO ELECTION REQUIRED)

*Number of Members:		*Annual Membership Cost:
*Fundraiser Date:		*Total sent to NORML:

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