American Legion Riders

Chapter Information Form
YOUR INFO
Your name (First Last) REQUIRED:
Your email address REQUIRED:
DATA CLASSIFICATION
Click the description that best describes why you are filling out this form REQUIRED:
New or Unlisted Chapter  (Date Formed: )
Information Update 
DEPARTMENT INFORMATION
Check if your Department recognizes your Chapter
Check if your Department organizes your ALR into districts 
(Enter your district name or number: )
Check if your Chapter is your Department's State Chapter
SPONSORING POST INFORMATION
Post Number REQUIRED:
Post Address REQUIRED:
Post City REQUIRED:
Post State (2-letters) REQUIRED:  Post Zip REQUIRED:
Check if ALR communications should be addressed to American Legion Riders at the Post address above , otherwise, fill in ALR Mailing Address section below.
CHAPTER MAILING INFORMATION
ALR Mailing Address:
ALR City: ALR State (2-letters):  ALR Zip:
CHAPTER WEBSITE INFORMATION
Check if your Chapter has a website. Enter URL below.
URL: http://
OFFICERS and CONTACTS
(BOLD indicates required officers. ITALICS indicates not an officer.)
Director
First Name REQUIRED:
Last Name REQUIRED:
Rider Name:
Mailing Address REQUIRED:
City REQUIRED:
State REQUIRED:
Zip Code REQUIRED:
Phone Number REQUIRED:
E-Mail Address:

Assistant Director
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

Secretary
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

Treasurer
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

Run_Coordinator
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

Membership_Chairman
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

Historian
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

Chaplain
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

Webmaster
First Name:
Last Name:
Rider Name:
Mailing Address:
City:
State:
Zip Code:
Phone Number:
E-Mail Address:

If you would like to make a comment or provide more information regarding your Chapter, please use this space:
MEMBER COUNT
 Enter the current number of members in your Chapter: