This information is being sent to the National Headquarters.

To submit a registration electronically using this form:
(1) Follow the instructions to enter the requested information
(2) When form is complete click "Submit" at the bottom of the form.

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Type the information requested into the white areas below.  Use the "tab" key to get to next block.
 
State Society or Chapter Name:


President:
National Number: Name:


President Elect:
National Number: Name:


1st Vice President:
National Number: Name:


2st Vice President:
National Number: Name:


3rd Vice President:
National Number: Name:


Secretary:
National Number: Name:


Treasurer:
National Number: Name:


Secretary-Treasurer:
National Number: Name:


Registrar:
National Number: Name:


Chancellor:
National Number: Name:


Genealogist:
National Number: Name:


Chaplain:
National Number: Name:


Historian:
National Number: Name:


Editor:
National Number: Name:


National Trustee:
National Number: Name:


National Alt-Trustee:
National Number: Name:



Submission Date:

Submitter (if not Member):

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Submitting the Form

Note:  You may print a copy of the completed form for your records by going to [File] [Print] on your computer BEFORE you submit the form.

Note:  To submit this form by mail, mail to:

NSSAR Officer Changes
1000 S. 4th Street
Louisville KY 40203

Now you may click on either
the "Submit" button below to submit the data to the Administrative Assistant
or the "Clear Form" to start over again.

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Submitting the Form