Person completing form: _________________________________________________

Day Phone: _____________________ Evening Phone: ________________________

Name of Organization: __________________________________________________

Purpose of Organization: _________________________________________________

Current Membership Number: ____________________________________________
The Centennial Book Committee wants you to include the information you feel most
important.  However, to help you get started, you might want to consider adding some
of the following details:
-How & When Organization was started
-List charter members/officers
-Major projects
-Awards/honors received
-Special events your group sponsors/participates in
-Has the focus of your group changed from its original purpose? If so, how?
TYPE your Organization's history.  Please limit your story to approximately 500 words.
Copy and photos will be edited for space.  You will be allowed 1-3 photographs to
accompany your story for publication.  Please make sure your photos are marked with
your name/address.