HistoricFlorence.org - Historic Florence, Nebraska

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Organization Information Form

If you would like to be listed on the Community Organizations page, please fill out the form below. Include area codes, zip codes, and years (where applicable). You should read the Organizations Form Help page to help expalin any fields. It also tells how to have your own page. You may also want to read the Submitting Information page. This form is good for the standard Community Organizations page; if you wish to have your own page, you will need to send logo, photos, and additional text via e-mail

Enter your e-mail address:
If you use the Google Toolbar or cannot read the text you enter, you should read this.

Enter your full name:

Enter your phone:

Enter the characters shown:

Organization

The name of your organization:

The organization motto:*

The organization mission:*

Coverage:* If you have a publishable map, then send it via e-mail

The prime and secondary public contacts information:

	Name:	e-mail:	Day Phone:	Eve Phone:
Primary:
Secondary:

Meetings

Location of meeting (name):
Address of meeting location:
City, State, Zip:*

			of		at
Other:

Enter any aberrations to the meeting rules, meeting location, etc.*

Enter any Agenda details for future meetings.*

Enter any Notes details for future meetings.*

Officers

When are elections held:*
When do officers take office:*
How long do terms last:*

Officer information (This term):

Office*	Name	phone	e-mail	Term Ends
President:
Vice President:
Secretary:
Treasurer:

Officer information (Next term; if known):*

Office*	Name	phone	e-mail	Term Ends
President:
Vice President:
Secretary:
Treasurer:

Enter any board members you wish to have listed:*

Website:

The organization website*

The URI/URL of the page that has a link to HistoricFlorence.org:*

The navigation to get to the page to see our link:*

Organization Contact information for updates (private to us):

Primary contact:

Name
Company/Organization
Address
City, State, Zip			Zip
e-mail
Telephone	Day:	Evening:

Secondary contact:

Name
Company/Organization
Address
City, State, Zip			Zip
e-mail
Telephone	Day:	Evening:

Other

Enter any comments in the space provided below:

Please contact me as soon as possible regarding this matter.