Names and Address of District Officers for 20
4254 Saw Mill Run Blvd., Pittsburgh, PA 15227
Please return this form to the Community Engagement Department IMMEDIATELY following election of officers. District Number City/State
District Information
District meetings are held (time and day) Name and Location of Hall President Name (First, Middle Initial, Last) Address (Street, City, State, Zip)
Phone
Vice President Name (First, Middle Initial, Last) Address (Street, City, State, Zip)
Phone
Officers The district has the option to elect or appoint additional officer positions to suit its needs. Please list any additional officers where it says Other. Example: Other: Second Vice President
Secretary Name (First, Middle Initial, Last) Address (Street, City, State, Zip)
Phone
Treasurer Name (First, Middle Initial, Last) Address (Street, City, State, Zip)
Phone
Other: Name (First, Middle Initial, Last) Address (Street, City, State, Zip)
Phone
Other: Name (First, Middle Initial, Last) Address (Street, City, State, Zip)
Phone
Other: Name (First, Middle Initial, Last) Address (Street, City, State, Zip)
Phone
Phone: 412-884-5100 | 800-765-4428 | memberbenefits@gbu.org | gbu.org DIST_OFFICERS-1123_5
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