New Member Information
This information is to be entered by the Individual Designated by the Chapter ONLY
Enter the Chapter and State for the New Member
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Name Of The New Member.
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Address
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City State Zip
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New Member's Email
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Initiation Date
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If you are entering several new members from your state you will only need to enter the Individual Designated
to Receive Confirmation of New Member Entry. The new member certificates will be sent to the Designated Individual.
The Chapter President will need to sign certificates prior to presenting the certificate to the new member.
Name of Person to Receive Certificates
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Address
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City, State, Zip
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Membership Chair's or Treasurer's Email
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You Must Select a New Set of Letters and Enter Them Into The Box Below or You Will Not Submit Your Form
(*)
Click This Text for a New Set of Letters
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