National Early Day Gas Engine and Tractor Association

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Branch Officers Update Form

- Step 1 of 12

Branch Officer Update Year

Branch Officer Update Year *

2023

Club Information

Branch Number *

Club Name *

Layout

Club City *

Club State *

Club Logo

Same - No change from previous year

Club Logo Upload

Click or drag a file to this area to upload.

This will be used on the branch page listed in the branch locations section of this website.

Club Contact Information

This information will be published on your EDGE&TA branch page.

Club Contact Name *

Club Contact Address *

Address Line 1

Address Line 2

City

State

Zip Code

Club Contact Email *

Club Contact Phone Number *

Club Contact Fax Number

President Information

This position cannot be vacant.

President Hide Fields

Same - No change from previous year

Show President information on your branch page: *

Show President information checked *

Name
E-mail Address
Address
Phone Number

Information checked will be published on your EDGE&TA branch page.

President Name *

President Address *

Address Line 1

Address Line 2

City

State

Zip Code

President Email

President Phone Number *

President Fax Number

Vice President Information

Vice President Hide Fields

Same - No change from previous year
Vacant

Show Vice President information on branch page: *

Show Vice President information checked *

Name
E-mail Address
Address
Phone Number

Information checked will be published on your EDGE&TA branch page.

Vice President Name *

Vice President Address *

Address Line 1

Address Line 2

City

State

Zip Code

Vice President Email

Vice President Phone Number *

Vice President Fax Number

Secretary Information

Secretary Hide Fields

Same - No change from previous year
Vacant

Show Secretary information on branch page: *

Show Secretary information checked *

Name
E-mail Address
Address
Phone Number

Information checked will be published on your EDGE&TA branch page.

Secretary Name *

Secretary Address *

Address Line 1

Address Line 2

City

State

Zip Code

Secretary Email

Secretary Phone Number *

Secretary Fax Number

Treasurer Information

Treasurer Hide Fields

Same - No change from previous year
Vacant

Show Treasurer information on branch page: *

Show Treasurer information checked *

Name
E-mail Address
Address
Phone Number

Information checked will be published on your EDGE&TA branch page.

Treasurer Name *

Treasurer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Treasurer Email

Treasurer Phone Number *

Treasurer Fax Number

Safety Officer Information

This position cannot be vacant.

Safety Officer Hide Fields

Same - No change from previous year

Show Safety Officer information on branch page: *

Show Safety Officer information checked *

Name
E-mail Address
Address
Phone Number

Information checked will be published on your EDGE&TA branch page.

Safety Officer Name *

Safety Officer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Safety Officer Email

Safety Officer Phone Number *

Safety Officer Fax Number

Editor Information

Editor Hide Fields

Same - No change from previous year
Vacant

Show Editor information on branch page: *

Show Editor information checked *

Name
E-mail Address
Address
Phone Number

Information checked will be published on your EDGE&TA branch page.

Editor Name *

Editor Address *

Address Line 1

Address Line 2

City

State

Zip Code

Editor Email

Editor Phone Number *

Editor Fax Number

Membership Director Information

Membership Director Hide Fields

Same - No change from previous year
Vacant

Show Membership Director information on branch page: *

Show Membership Director information checked *

Name
E-mail Address
Address
Phone Number

Information checked will be published on your EDGE&TA branch page.

Membership Director Name *

You may enter "Same" or "Vacant"

Membership Director Address *

Address Line 1

Address Line 2

City

State

Zip Code

Membership Director Email

Membership Director Phone Number *

Membership Director Fax Number

Additional Branch Information to Post on Branch Page

Additional Branch Information (club information, additional branch officers not listed above) to Post to Branch Page

For additional or secondary officers, please include name and contact information as above. Examples of additional branch information include: "Please send all branch correspondence to", Club website, Meeting information, etc.

Submitter Information

Enter your information so we can get back to you in the event we have questions regarding the information submitted.

Submitter Name *

Submitter Email *

Submitter Position *

Updating preview…

This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.

Please allow 1 week for your branch officers to be updated on your EDGETA branch page.

Comment

All membership dues and lists are to be sent to the Secretary/Treasurer. Click on the Administration Page to find contact information for the officers.

All correspondence should be directed to the President, any questions should be sent to the Regional Director and all insurance questions to be sent to the Director handling insurance.

All EDGE&TA Membership Correspondence Should be Directed To: Carrie Jo Parmley – EDGE&TA Secretary | [email protected] | 15246 Seven League Road, Tyler, TX 75703