This form must be submitted by the Chapter Retention Chair, Chapter KRS, or Chapter Basileus. The deadline for submittal is 02/25/2017
** Must use the "Official" Chapter Address used by IHQ **
Please use the official address that IHQ has on file for your chapter. If you are unsure, please ask the Chapter KRS.
Please enter the chapter state that is on file with IHQ. Make sure you capitalize the appropriate words. (ex. IL, IN, MI, MN, WI)
Chapter Retention Chair & Leadership Info:
Enter the name of the Chapter Retention Chair. There isn't a Retention Chair, please enter the Chapter KRS or Basileus information.