| Chapter Name: | |
| Geographical Service Area: | |
| City: | |
| State/Province (SPELL OUT e.g. "California" NOT "CA", except for District of Columbia): | |
| Postal Code: | |
| Country: | |
| M/s population served (Pansexual, Women Only, Men Only, GLBT, etc.): | |
| Email 1: | |
| Email 2: | |
| Email 3: | |
| Website Link 1 (optional): | |
| Website Link 2 (optional): | |
| Website Link 3 (optional): | |
| Organizational Structure (e.g. Board, M/s pair, sole Director): | |
| Chapter Director: |
| Legal Name: | |
| Preferred Name: | |
| Role (e.g. director): | |
| Address (1): | |
| Address (2): | |
| City: | |
| State/Province (SPELL OUT e.g. "California" NOT "CA", except for District of Columbia): | |
| Postal Code: | |
| Country: | |
| Phone (Including Area Code): | |
| Best time(s) to call: | |
| Cell Phone (Including Area Code): | |
| Best time(s) to call: | |
| Alternate Contact (not a member of the Chapter Director's household): |
| Legal Name: | |
| Preferred Name: | |
| Role (e.g. co-director): | |
| Address (1): | |
| Address (2): | |
| City: | |
| State/Province (SPELL OUT e.g. "California" NOT "CA", except for District of Columbia): | |
| Postal Code: | |
| Country: | |
| Phone (Including Area Code): | |
| Best time(s) to call: | |
| Cell Phone (Including Area Code): | |
| Best time(s) to call: | |
I/we desire to continue to operate this MAsT Chapter as a local representation of Masters And slaves Together, Incorporated, with the privileges and responsibilities thereof, and hereby submit this application to renew my/our MAsT Chapter Charter.
I/we agree to continue to operate this MAsT Chapter in accordance with the purposes of MAsT, in conformity with the MAsT Policy Manual, and in full cooperation with the Board of Masters And slaves Together, Incorporated.
I/we agree |
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