AT&T Performing Arts Center

Board of Directors Membership Information
2014/2015
Thank you for helping the Center communicate with you more efficiently and ensuring the Board’s Directory
is accurate. Please complete the information below and return by Friday, August 1, 2014 via e-mail to
board@attpac.org or fax to 214-954-9936.

Electronic Communication
I may be given notice of meetings at this e-mail address: kern.wildenthal@childrens.com
For notice of meetings:
☒ cc Assistant
☐ do not cc Assistant

Mail Correspondence
Send general correspondence to:
Send social invitations for me and my spouse/guest to:

☐ Office
☐ Office

☒ Home
☒ Home

Alternative Forms of Meeting
I agree to participate in meetings held by teleconference, video conference, or similar electronic
communications if needed:
☒ Yes
☐ No

Birth Month/Day: July 1
Name in Print
For the Center’s Board of Directors list (e.g. show programs, website, press releases, etc.)
please list my name as: Kern Wildenthal, M.D.

INFORMATION FOR BOARD DIRECTORY:
Mark any edits below OR on the attached copy of your page from last year’s Directory

Photograph (for Board Directory, newsletters, etc.)
☐ Continue to use photograph from last year’s Directory--yes
Office Address and Contact Information

Home Address and Contact Information

Job Title:

Preferred First Name (e.g. Bob):

Company:

Spouse Name:

Company Address:

Home Address:

City, State Zip:

City, State Zip:

Phone:

Phone:

Fax:

Fax:

E-mail:

E-mail:

Mobile Phone:
☐ Include Mobile in Directory

☒ Mobile for Internal Use Only

Assistant Information
☒ Office
☐ Home
E-mail: charmin.shaw@childrens.com
Phone: 214-456-5335

Fax:

Special Instructions or Additional Information :