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Member Life Event/ Updates
As you experiences the ups and downs of life, we want to ensure that our Chapter is there to support you. Please share with us the major events happening in your life or the lives of other members of the Chapter.
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* Indicates required question
Please indicate type of event:
*
Promotion
Retirement
Death of member/Loved one
Member illness/Hospitalization
Other:
Additional details:
Your answer
Name of Member Affected
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Please indicate how we can share this information with the Chapter (Check all that apply):
*
Announcement at General Membership Meeting
Social Media (Facebook, Instagram, etc.)
Text Message
Email
Do not share
Required
Would you like to be contacted by the Health and Wellness Committee Chair?
*
Yes
No
Would you like to be contacted by the Chapter Chaplain Dr. Barbara Williams-Harris?
*
Yes
No
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