I have reviewed the NACPM Chapter Launch Packet/Agreement, and I affirm my state/territory/jurisdiction’s intention to move forward with forming an NACPM Chapter. By completing this form, I confirm that I am a current NACPM member and agree to serve as the primary point of contact and state liaison throughout the chapter formation process. I will notify NACPM if this responsibility transitions to another individual in my state/territory/jurisdiction. I also give permission for NACPM to share my contact information with individuals who express interest in our Chapter’s activities.