Chapter Media Presence

Submitter Information

Please enter information pertaining specifically to your chapter officers.
Please enter your full control number including the two leading zeros. It should be nine (9) digits in length.
Please enter your personal email address - not your chapter officer email address.
Enter your phone number (Cell Preferred)

Chapter Information

Please enter all the chapter information.
PLEASE USE YOUR OFFICIAL CHAPTER ADDRESS AS LISTED WITH IHQ.
PLEASE USE YOUR OFFICIAL CHAPTER ADDRESS AS LISTED WITH IHQ.
PLEASE USE YOUR OFFICIAL CHAPTER ADDRESS AS LISTED WITH IHQ.
PLEASE USE YOUR OFFICIAL CHAPTER ADDRESS AS LISTED WITH IHQ.
PLEASE USE YOUR OFFICIAL CHAPTER ADDRESS AS LISTED WITH IHQ.

Chapter Media Presence

Please select all that apply.
Please enter yout website and include "http://". (ex. http://omega10thdistrict.org)
Please enter a dollar amount for your website hosting cost. (ex. $10/month, $30/quarterly, $60/semi-annually or $120/annually)
Please enter the name of the company that you have your Website Hosting Plan. (ex. GoDaddy)
Please enter your Facebook Page. (ex. https://facebook.com/tenthdques) If your chapter doesn't have a Facebook presence, please leave Blank.
Please enter your Google+ Page. (ex. https://plus.google.com/yourGoogle+number) If your chapter doesn't have a Google+ presence, please leave Blank.
Please enter your LinkedIn page link. (ex. https://linkedin.com/chapter info) If your chapter doesn't have a LinkedIn presence, please leave Blank.
Please enter your twitter page link. (ex. https://twitter.com/tenthdques) If your chapter doesn't have a Twitter presence, please leave Blank.
Please enter your YouTube page link. (ex. http://youtube.com/tenthdques) If your chapter doesn't have a YouTube presence, please leave Blank.
Please enter your other website presence page link. (ex. http://whateversite.com) If your chapter doesn't have any other website presence, please leave Blank.