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Omega Chi Epsilon Jewelry Request
Use this form to submit jewelry requests for up to 25 members. If the number of items exceeds 25, submit the form multiple times.
Jewelry prices:
10K key/tac
$140.00 each
GP key/tac
$33.00 each if one ordered
$28.00 each if two ordered
$27.00 each if three or more ordered
Upon submission of this request, payment instructions will be provided. Jewelry will not be ordered until payment is made.
If multiple types of jewelry are desired, submit this form for each type.
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* Indicates required question
Email
*
Your email
Responder Name
*
Enter name of person completing form
Your answer
University
*
Enter the name of your university
Your answer
Chapter
*
Enter your chapter name (e.g., Beta Nu)
Your answer
Mailing Address
*
Enter the address to which the jewelry should be mailed
Your answer
Type of Jewelry
*
10K Key
10K Tac
GP Key
GP Tac
Member 1, Name and Initials
*
At least one new member must be entered, enter as FirstName LastName, INITIALS (e.g., Shelly Brown, SB)
Your answer
Member 2, Name and Initials
Your answer
Member 3, Name and Initials
Your answer
Member 4, Name and Initials
Your answer
Member 5, Name and Initials
Your answer
Member 6, Name and Initials
Your answer
Member 7, Name and Initials
Your answer
Member 8, Name and Initials
Your answer
Member 9, Name and Initials
Your answer
Member 10, Name and Initials
Your answer
Member 11, Name and Initials
Your answer
Member 12, Name and Initials
Your answer
Member 13, Name and Initials
Your answer
Member 14, Name and Initials
Your answer
Member 15, Name and Initials
Your answer
Member 16, Name and Initials
Your answer
Member 17, Name and Initials
Your answer
Member 18, Name and Initials
Your answer
Member 19, Name and Initials
Your answer
Member 20, Name and Initials
Your answer
Member 21, Name and Initials
Your answer
Member 22, Name and Initials
Your answer
Member 23, Name and Initials
Your answer
Member 24, Name and Initials
Your answer
Member 25, Name and Initials
Your answer
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