Gamma Pi Chapter’s Estate Planning for Fraternity Property and Paraphernalia Form
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Please add your first and last name and appropriate suffix (Sr. Jr. II, III, etc.) *
Address *
Mobile Phone *
Home Phone *
Email *
Date of Birth *
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Date Initiated *
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Line # *
Chapter Initiated *
Designated Contact Person's Full Name (this is the person who will have a copy of this form and your instructions) *
Full Address Street, City, State, Zip)` *
Mobile Number *
Home Number *
Email *
What is this person’s relationship to you? *
Alternate Designated Contact Person's Full Name (this is the person who will have a copy of this form and your instructions)
Full Address Street, City, State, Zip)`
Mobile Number
Home Number
Email
What is this person’s relationship to you?
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Do you plan to leave Omega Psi Phi property   AND your paraphernalia to a son, who is a legacy member of the Fraternity? *
Do you plan to leave Omega Psi Phi property and your paraphernalia to a relative, who is a member of the Fraternity? *
Has that person(s) been notified of this decision? *
Individual items of clothing (shirts, hats, jackets, etc.) do not need to be separately identified.  Please list the items, their location, and the beneficiary. (If Not Applicable write "NA") *
Individual items of jewelry (rings, pins*, necklaces, etc.) do not need to be separately identified.  Please list the items, their location, and the beneficiary.  (If Not Applicable write "NA") *
Individual items of awards (plaques, trophies, wall hangings etc.) do not need to be separately identified.  Please list the items, their location, and the beneficiary.  (If Not Applicable write "NA") *
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