Fraternity Management Group

Fraternity:

Chapter:

University / College:

Chapter Street Address:

City:

State:

Zip:

Chapter Mailing Address:

City:

State:

Zip:

Chapter Web Address (alumni):

Chapter Web Address (undergrad):

Contracting Entity:

Contracting Entity Mailing Address:
City:

State:

Zip:

University Alumni Association Mailing Address:
City:

State:

Zip:

Phone Number:

Web Address:

University Foundation Mailing Address:
City:

State:

Zip:

Phone Number:

Web Address:

National HQ's Mailing Address:

City:

State:

Zip:

Phone Number:

Chapter Alumni Association Name:
Mailing Address:

City:

State:

Zip:

Phone Number:

Email Address:

Chapter Foundation Name:

Mailing Address:

City:

State:

Zip:

Phone Number:

Email Address:

Chapter Housing Corporation Name:
Mailing Address:

City:

State:

Zip:

Names of Alumni Association Board Officers / Titles:

Names of Foundation Board Officers / Titles:

Names of House Corporation Board Officers / Titles:

Names of Chapter Officers / Titles:

Annual Alumni & Parent Events Planned for the Year:

What Month(s) Do You Prefer To Have The Following Mailed:

Newsletters:

Parent Weekend Invite:

Homecoming Weekend Invite:

Founders Day Invite:

Annual Fund:

Local Chapter Founding Date:

Do you want to be billed monthly or quarterly:
monthly quarterly (5% discount)

This form completed by:

Name:

Email Address:

Street Address:

City:

State:

Zip:

Daytime Phone #:

Evening Phone #: