State Information Update Form

This form will allow you to submit updated information about your State Association for use in the Annual Directory.

PLEASE SUBMIT UPDATED OR NEW INFORMATION ONLY!

The form is divided into easy to use sections so that similar information is together. You can also save the form and return to it if you need to. Only a couple of fields are required, so you will be able to add your updated information quickly.

One item that is new is a request for a photo of the Executive Director. Please have a JPG file larger than 500K and smaller than 5MB ready to upload when you get to that section. If at all possible, this photo should be a formal portrait/headshot.

Thanks for keeping your State’s information current!

Step 1 of 7

Association Information
Please fill in the information below for your ASSOCIATION.
State or Territory*
State Association Name*
Association Abbreviation*
Combined Association? (Officer/Enlisted?)
- Yes
- No
Association Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Association Phone Number
Association FAX Number
Association DSN
Association Email
Enter Email Confirm Email
Association Website Address

Save and Continue Later

Executive Director's Information
Please fill in the information below for your EXECUTIVE DIRECTOR.
Name of Executive Director
Executive Director is:
- Full-Time
- Part-Time
Executive Director Since:
MM slash DD slash YYYY
Upload a photo of the Executive Director
Accepted file types: jpg, Max. file size: 15 MB.
Please upload a good quality, formal (if available) portrait of your Executive Director. Please send a JPG file over 500k in size, but less than 5meg in size. We will crop the file to fit our requirements, so you don't need to.
Executive Director's Address (if different from Association)
Street Address Address Line 2 City State ZIP Code
Executive Director's Phone Number (if different from Association)
Executive Director's Email Address
Enter Email Confirm Email

Save and Continue Later

President's Information
Please fill in the information below for your PRESIDENT.
Name of President
President's Tenure Ends
MM slash DD slash YYYY
President's Address (if different from Association)
Street Address Address Line 2 City State ZIP Code
President's Phone Number (if different from Association)
President's Email Address
Enter Email Confirm Email
Name of President Elect / 1st Vice President / Vice President

Please note both name and title.

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Adjutant General Information
If different from last year.
Adjutant General's Name
Adjutant General's Address
Street Address Address Line 2 City State ZIP Code
Adjutant General's Phone
Adjutant General's FAX
Adjutant General's DSN
AUTHORIZED PERSON
Contact information for authorized person providing this information.
Authorized Person's Name*
Authorized Person's Phone*
Authorized Person's Email*
Enter Email Confirm Email
Email
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Step 1 of 7

Association Information

Executive Director's Information

President's Information

Paid Staff Information

Upcoming Conference Dates

Insurance Section

Insurance Staff

Adjutant General Information

AUTHORIZED PERSON