Serving Children with Diabetes for More than 70 Years

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Board Director Transfer - Executive

2022 Fantastic Summer - Second Session

Starts In

Southwestern Diabetic Foundation Board Membership
Congratulations!
At the February 27, 2021, Executive Board meeting, the board voted to transfer your general board membership to executive board membership. Your board term will remain the same.

Your participation in our program is vital to its success and we appreciate your commitment and service to these very special children.
Would you like to renew your membership?*
- Yes, I would like to accept the appointment to executive membership.
- No, due to other commitments, I prefer to remain on the general board.
Name*
First Last
We are sorry that you will not be able to serve on the executive committee, but we appreciate your continued support of Camp Sweeney.
Date
MM slash DD slash YYYY
Optional Comments
We appreciate your willingness to serve on the Executive Committee. Please provide your updated information below if applicable.
Work / Business Information
Occupation/Industry (check all that apply)
- Healthcare
- Education
- Law
- Finance
- Retired
- Entrepreneur
- Other
Other Occupation/Industry
Employer/Business Name
Title/Position
Work Address
Street Address Address Line 2 City State ZIP Code
Work Phone
Work Fax
Home / Personal Information
Home Address
Street Address City State ZIP Code
Home Email
Home Phone
Cell Phone
Spouse's Name
Children's names
Click the + sign to add more spaces
Your Birthday (Month and Day only)
Optional Comments
Preferred method of contact (check all that apply):
- Work Email
- Work Address
- Work Phone
- Cell Phone
- Home Address
- Personal Email
Date
MM slash DD slash YYYY

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Camp Sweeney

P.O. Box 918

Gainsville, TX 76241

info@campsweeney.org

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