NAFI
DIRECTORY FORM

Please fill out the below application form to add, correct, or delete any information contained in the directory. The directory's main purpose is to establish a contact person for your unit/section.


Submitter's information will be used for verification and
notification ONLY, and will not be entered into the Directory.
Submitter's Name:
Submitter's Email:
Submitter's Phone Number:
   
Department Name
Section/Unit Name
Address:
City:
State:
Zip:
Phone Number:
Fax Number:

List each person's name/contact info in the order you wish for it to appear.
1. Name/Rank:
Phone Number
(if different from above):
Email:
   
2. Name/Rank:
Phone Number
(if different from above):
Email:
   
3. Name/Rank:
Phone Number
(if different from above):
Email:
   
4. Name/Rank:
Phone Number
(if different from above):
Email:

The information above is (please select one)
New Member
Correction
Delete? (explain)


If you have any additional comments or question, please enter them below:



Upon Completion - Print & Fax Form to the Attention of

Paul J. Pellegrino (508) 879-1273