Volunteer for MPCC Committees

Please select the areas in which you (or others) would like to participate, and provide your (or their) contact information below each selection.

I (or others) in my organization would like to participate on the following MPCC Committees:

MPCC Communications Committee:

select

Name of Person, Phone, E-mail:

MPCC Funding Committee:

select

Name of Person, Phone, E-mail:

MPCC Governance Committee:

select

Name of Person, Phone, E-mail:

MPCC Membership Committee:

select

Name of Person, Phone, E-mail:

MPCC Strategic Planning Committee:

select

Name of Person, Phone, E-mail:

Please provide your information for our records:

Name of Person Completing Form: *

Organization: *

Date: *