Requestor's name: (Request form must be completed by Unit Leader, i.e. Chapter President, Division Chair, Caucus Convener, etc.) Requestor's e-mail:
Unit name: Unit code:
Name of list owner:
E-mail:
Phone:
Do you have an existing discussion list: yes no
If yes, please provide address:
Special Requests (i.e. private list, subscription approval, owner changes etc.):