Tau Pi Chapter Member Information
Brethren,

This is to compile the most up-to-date information for our chapter's members. Please complete and submit the form so that all information is properly captured and so that all information can be updated on the chapter directory and website.
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Last Name *
First Name *
Middle Initial *
Suffix (If Applicable)
Street Address *
City *
State *
Zip Code *
Home Phone (Enter "N/A" if not applicable) *
Mobile Phone (Enter "N/A" if not applicable) *
Email Address *
Year of Initiation (Enter using four digits, i.e. "1911") *
Initiation Chapter *
What is your overall Line's Name? *
What is your given Line Name? *
How many were there on your line? *
Line Number *
LAST 4-Fraternity Control Number (This information will only be privy to KRS/AKRS.)
LAST 4-Life Member Number (This information will only be privy to KRS/AKRS.)
Prior Military Service Member *
Branch of Service
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Rank Upon Completion of Service
Birthdate *
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