GREATER AKRON AMATEUR SOCCER ASSOCIATION

FALL/SPRING _____ CLUB OFFICERS

CLUB NAME:__________________________CLUB CODE____

PR) Club President Name:__________________________________________________

Address:_________________________________________________________

City:__________________________________________Zip________________

Phone:__________________________E-mail____________________________

RG) Registrar Name:______________________________________________________

Address:_________________________________________________________

City:___________________________________________Zip_______________

Phone:__________________________E-mail____________________________

CR) Club Representative:___________________________________________________

Address:_________________________________________________________

City:___________________________________________Zip_______________

Phone:__________________________E-mail____________________________

TR) Treasurer Name:______________________________________________________

Address:_________________________________________________________

City:____________________________________________Zip______________

Phone:__________________________E-mail____________________________

SE) Secretary Name:______________________________________________________

Address:_________________________________________________________

City:____________________________________________Zip______________

Phone:__________________________E-mail____________________________