Omega Chi Epsilon New Member Submission

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Use this form to submit up to 25 new members. If the number of new members exceeds 25, submit the form multiple times.

Certificates will not be sent until membership fees are paid. Membership fees are paid separately. Instructions for payment are provided after submitting this form.

Email *

Responder Name *

Enter name of person completing form

University *

Enter the name of your university

Chapter *

Enter your chapter name (e.g., Beta Nu)

Election Date *

Enter the induction date for your new members

YYYY

Mailing Address *

Enter the address to which member certificates should be mailed

Member 1 *

At least one new member must be entered; enter names in the form: "Firstname Lastname"

Member 2

Member 3

Member 4

Member 5

Member 6

Member 7

Member 8

Member 9

Member 10

Member 11

Member 12

Member 13

Member 14

Member 15

Member 16

Member 17

Member 18

Member 19

Member 20

Member 21

Member 22

Member 23

Member 24

Member 25

A copy of your responses will be emailed to the address you provided.

Submit

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