SOCIETY for RISK ANALYSIS
PETITION FOR CHAPTER STATUS
Proposed Chapter Name:
Business Address:
Telephone:
Fax:
Email:
Number of Chapter members included with this Petition (minimum of 20
required) (attach list of members):
Number of non-SRA Members included:
To the Officers of the SRA:
We the undersigned interim Officers of the proposed SRA Chapter petition
that the proposed Chapter be chartered by SRA in accordance with the rules
and regulations of the SRA. We aver that this petition meets with the
unanimous approval of the petitioning members of the proposed Chapter,
and that the proposed Chapter is organized in a manner which conforms
to the SRA Bylaws and to standard Chapter Bylaws and formation requirements.
We attach a list of the Members of the proposed Chapter with their addresses,
and a copy of the proposed Chapter Bylaws. We request that the Chapter
be chartered.
Signed the ______ day of _____, 2___ .
________________________ _________________________
Interim Chapter President Interim Chapter
Secretary
Please return this form and attachments to: Richard J. Burk,
Jr., SRA Secretariat, 1313 Dolley Madison Blvd., Suite 402, McLean VA
22101. Telephone 703-790-1745. E-mail: <SRA@BurkInc.com>.
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