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Southeast Region

Up-to-Date Chapter Information

 

This form must be complete in its entirety. If you do not have all the information to fill out this form, please do not submit at this time.

 

Questions in red are considered crucial. If a position is open or vacant, type "NA" in the field. If you experience issues with this form, please contact Webmistress.


E-mail Address
Chapter Name
Mailing Address (all regional mail will come to this address)
City
State
Zip Code
County
Chapter Email (all regional emails will come to this address)
Website Address
Basileus Name
Basileus Telephone (Format 123-456-7890)
Basileus Email
1st Anti-Basileus Name
1st Anti-Basileus Telephone (Format 123-456-7890)
1st Anti-Basileus Email
2nd Anti-Basileus Name (if applicable)
2nd Anti-Basileus Telephone (Format 123-456-7890)
2nd Anti-Basileus Email
2nd Anti-Basileus Advises (Chapter & School)
3rd Anti-Basileus Name (if applicable)
3rd Anti-Basileus Telephone (Format 123-456-7890)
3rd Anti-Basileus Email
3rd Anti-Basileus Advises (Chapter & School)
Grammateus (name and email/phone)
Tamiochus (name and email/phone)
Anti-Grammateus (name and email/phone)
Epistoleus (name and email/phone)
Parliamentarian (name and email/phone)
Chaplin (name and email/phone)
Rhoer Club Advisor (if applicable)
Rhoer Club Advisor Phone or Email
Philo Club Advisor (if applicable)
Philo Club Advisor Phone & Email
This chapter serves the following areas:

A. College/University (include each school that has a chapter)

B. Advising Chapter (include advising chapter name)

C. Counties (include each county you serve)

D. Area Codes (include area codes you serve)
Chapter General Body Meeting Dates

Social Media Links

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Additional Comments
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