Please complete this form to report closed business. You will have the option to attribute the closed business to a member or guest. The email address you provide below will be used to email you a copy of your report submission. Date of Closed Business* MM slash DD slash YYYY Email address* Select Your Name*- Choose -Angela J. BlackwellBarry KleinBJ MartinByron M. G. SanfordCindy SouthwellDonald J. HoeppnerJoe RobertsonKyle EpsteinJesse EricksonMark ItzkovitzMark McKenzieMason Berryman, P.E.Melissa WilsonMicheal DoughertyRandy SheaRichard StokesTodd GordonSue GroszkiewiczTed SchwartzTroy ZavitzSelect person responsible for providing you Closed Business*- Choose -GUESTAngela J. BlackwellBarry KleinBJ MartinByron M. G. SanfordCindy SouthwellDonald J. HoeppnerJoe RobertsonKyle EpsteinJesse EricksonMark ItzkovitzMark McKenzieMason Berryman, P.E.Melissa WilsonMicheal DoughertyRandy SheaRichard StokesTodd GordonSue GroszkiewiczTed SchwartzTroy ZavitzIf you selected "Guest" above, please enter his/her name Enter amount of closed business (number only)Reference