Chapter Initiation Materials Order Form

PLEASE NOTE: No materials will be sent until ALL new members have paid. Weekly reports showing members who have paid will be sent to chapter Presidents and Treasurer’s beginning October 1st.

Please allow 2-3 weeks for delivery of new member materials.

Chapter Initiation Materials Order Form

Chapter

First Name *

Last Name *

Contact Email *

Contact Position

New Member Initiation Date

List of Members to Be Initiated on Date Above (NOTE: The way you write their names here will be how it is printed on their certificates.)

Have All Members Created Accounts in the Portal and Paid? (PLEASE REFER TO RED NOTE AT THE TOP OF THE PAGE.) *

Shipping: Full Name *

Shipping Address *

Shipping Address

City

State/Province

Zip/Postal

Country