Chapter Officers Form

Officer Information

Please enter information pertaining specifically to your chapter officers.
Enter the First Name Only for the Officer.
Enter the Last Name Only for the Officer.
Please enter your full control number including the two leading zeros. It should be nine (9) digits in length. (ex. 009999999)
Please enter your personal email address - not your chapter officer email address.
Enter your phone number (Cell Preferred) - ex. 999-999-9999
Please select the office being served.
Please type your (brother) "CURRENT" home city.
Please select your (brother) "CURRENT" home state.
Please type your (brother) "CURRENT" home postal code.

Chapter Information

Please enter all the chapter information.
Please enter your chapter name ONLY. Please do not add "Chapter" or your chapter nickname.
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.
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