We would like your input on what and how much information you would like published in the 2012 EWGA Albany/Capital Region Chapter Membership Directory. You may fill in as many or as few of the fields as you like.
If you do NOT want to be listed in the 2012 EWGA Membership Directory at all, please check "No" in the box at the bottom of this form.
If we do not hear from you, we will display your “NAME” and “EWGA MEMBER SINCE” in the 2012 directory.
All information must be submitted by April 30, 2012. The completed directory will be mailed to all members in June.