Chapter Application Form
The following information needs to be sent to the ANC: Chapters, your Regional Coordinator and your Regional Story Teller.us.cam.anc.chapters@gmail.com whitewynd@yahoo.com sestoryteller@gmail.com
Proposed Chapter Name:
Domain: None
Region: South East
Proposed Chapter Coordinator (CC):
Proposed CC Camarilla Membership #:
Proposed CC e-mail address:
Physical Address of chapter and areas claiming:
Proposed Assistant Chapter Coordinator (ACC):
Proposed ACC Camarilla Membership #:
Proposed ACC e-mail address:
Proposed Venue Story Teller (VST):
Proposed VST Camarilla Membership #:
Proposed VST e-mail address:
Proposed Venue: [ Requiem / Awaken / Forsaken / Changeling ]
List of members: