IPAC
Picture

Entry Form

Regional Group
Regional Group Chair
Email Address
Phone Number
Number of members on Regional Group Executive in 2012/2013
Names of Regional Group Committees and Volunteers on each Committee
Number of Regional Group functions September 2012 - June 2013
Average attendance for each event
How does this attendance compare to last year's (+ or -)
What was the most successful function during the year? Why?
Include # of registrants, topic, speaker and format used.
Does the Regional Group employ paid administrative assistance?
Yes
No
Name, phone number and e-mail address for the Regional Group's contact
Insert written response that addresses each of the criteria (Maximum length 2000 words)