[If this is of interest to you, please return the questionnaire to the address in Michigan, not to me. Thanks.] If you would like your association to be listed free of charge in Regional, State and Local Organizations, the standard reference guide to local associations, societies, and other nonprofit organizations, please fill out the following form and return it to: Regional, State and Local Organizations Gale Cengage Learning 27500 Drake Rd. Farmington Hills, MI 48331-3535 telephone (248) 699-4253 x1722 fax (248) 699-8069 e-mail: tara.atterberry@cengage.com If you do not have time to fill out the questionnaire, then just send in some descriptive material about the organization, together with its name, address, phone number and the name and title of an executive officer that people can contact. The symbol [ ] represents a box that you can check or type an x in. Name of organization: ____ Address: ____ Telephone number: ____ Name and title of executive officer (president, chairperson, executive director, etc.): ___ Fax number: __________ Toll-free number: _________ E-mail address: ______ World Wide Web site: ______ Telex number:________ [ ] Multinational [ ] Binational [ ] National [ ] Regional [ ] State [ ] Local Former Name (and year of name change): ____ Predecessor group (if formed by merger): ____ ORGANIZATIONAL STRUCTURE Year founded ____ [ ] Nonmembership [ ] Membership. Number of members_______ Describe Membership _ Number of staff_______ Budget ____ Number of: Regional groups _____ State groups ____ Local groups _____ ORGANIZATION'S OBJECTIVES AND ACTIVITIES Describe the objectives of your organization; also explain how your organization works towards these objectives. (Please attach printed material if helpful.) SPECIAL SERVICES (check box and describe services) [ ] Competitions [ ]Awards [ ] Biographical Archives [ ] Hall of Fame [ ] Placement Service [ ] Speaker's Bureau [ ] Children's Services [ ] Charitable Programs [ ] Museum [ ] Statistics [ ] Library [ ] Research Programs [ ] Educational Programs [ ] Political Action Committee Describe (e.g. holdings, types of services) ___ Computerized Services (e.g., data bases, online and mailing list services) __ Telecommunications Services (e.g., electronic bulletin boards, telephone referral services) __ Subunits (e.g. committees, divisions, departments, councils) PUBLICATIONS (please attach information on additional publications.) Title____ Type of Publication ____ Frequency of Issue ____ Features of Publication: ____ Price: ___ ISSN: ____ Circulation: ____ Advertising: [ ] accepted [ ] not accepted Alternate formats: [ online [ ] microform CONVENTIONS/MEETINGS Type (e.g., conference, congress) ___ Frequency (e.g. annual, semiannual) ____ None held [ ] Dates and Locations: please be specific; use additional sheet if necessary. 2017: Month/Dates: ____ City/State/Country: ____ 2018: Month/Dates: ____ City/State/Country: ____ 2019: Month/Dates: ____ City/State/Country: ____ 2020: Month/Dates: ____ City/State/Country: ____ 2021: Month/Dates: ____ City/State/Country: ____ Commercial exhibits? [ ] Yes [ ] No A Letter from the Editors: We are currently compiling information for the new edition of the Regional, State and Local Organizations, which describes a great many regional, state and local nonprofit groups. Regional, State and Local Organizations is published by Gale Research Inc. (founded 1954). Complemented by companion volumes the Encyclopedia of Associations (which lists national associations of the U.S.) and International Organizations, Regional, State and Local Organizations is updated and revised annually. These volumes are considered a standard reference source are found in libraries throughout the country. They are used by researchers, journalists and market analysts, as well as individuals looking for groups in a specific field. Critics have hailed these directories as a classic research tool. We wish to include your organization in this directory and ask that you complete the questionnaire on the other side. Please return it within 15 days (or as soon as possible). We would also be grateful for any additional information you could provide, such as lists of parent and sister organizations with addresses, if possible. There is no charge or obligation for this or any subsequent listing in Regional, State and Local Organizations. (end of questionnaire)