Submission Deadline: Tuesday, February 15, 2022.

Your responses cannot be edited after submission nor saved for completion at a later time. Partial and/or incomplete entries are not submitted nor saved.

Tip: Download the following worksheet to collect necessary documents, make note of your answers, and use as a guide to complete your report submission. 2021 Affiliate Report Worksheet (DOCX)

2021 Affiliate Report Form

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2021 Affiliate Report
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Section 1: General Information

3. Affiliate mailing address *
3. Affiliate mailing address
6. Are you the primary administrator of the Affiliate? *
7. Are you paid or volunteer? *