PLEASE SEND TO:

CATHERINE WONG
ASSISTANT DIRECTOR

405 SOUTH ELM ST.
WALLINGFORD, CT 06492
E-MAIL: phisigmasociety@hotmail.com

 


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AS REQUIRED BY THE CONSTITUTION AND BYLAYS, ARTICLE V, SECTION 6, ITEM 5, FILL OUT AND SEND THIS FORM AT THE BEGINNING OF EACH ACADEMIC YEAR TO THE ASSISTANT DIRECTOR

Please complete this form and send to the National Office.

Chapter Name: 

CHAPTER OFFICERS ACADEMIC YEAR:   

President: 

Chapter Address: 
                            

Vice President: 
                        
Secretary: 

Treasurer: 

Other:

Council Representative (Faculty Advisor): 
                                                                
                                                                

Telephone: 

E-Mail Address: