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Find Your Local Chapter Map of States, Chapters & Centers Audubon Sanctuaries and Nature Centers Local Wildlife Rehabilitators Contact Us Audubon Chapter Services Building 30, Fort Missoula Road Missoula, MT 59804 Phone/Fax: (800) 542-2748 or (406) 543-3672 Lynn Tennefoss, VP, State Programs and Chapter Services Rebecca Richter, Program Associate State Office Contacts Email Chapter Services

States, Centers, & Chapters > Chapter Resources

Chapter Leader Change Report Form

Please report all changes in Chapter leadership as soon as possible to your State office (or the National Chapter Services office when there is not an office in your State).

The form below can be used for individual officer or committee chair changes, and can be used to change an address or other field, or to notify of a complete change in officer. It can be sent via email by clicking the button "Send Now" below.
For changes of more than one person, please use the full Chapter Leader Report Form and email to chapter_services@audubon.org, or mail or fax this printable form to:

Audubon Chapter Services
Building 30, Fort Missoula Road
Missoula, MT 59804
Fax: 1-800-542-2748.

All timely and important mailings to your Chapter depend on having this accurate information.

* Required fields

* Chapter Name:
* Code:
* Date:

Old Information
Chapter Position:
* First Name:
Middle Initial:
* Last Name:
Address:
City:
State:
Zip:
Phone (day):
Phone (eve):
Fax:
Email:

New Information
Chapter Position:
* First Name:
Middle Initial:
* Last Name:
Address:
City:
State:
Zip:
Phone (day):
Phone (eve):
Fax:
Email: