Click here for name change only.

Click here for Email Update Form.


CHANGE OF ADDRESS

               

Fill in the following form and click
 the submit button to email a change of address to us.

Your Email:
General Number:
First/Middle/Last Name:
Date of Birth: Chapter:

Old Address:

City:
State:
Zip:
Phone:

New Address:

City:
State:
Zip:
Phone:


Please direct all comments and queries about this page to Dr. Thomas M. Petry, National Secretary-Treasurer.
© 2002 Chi Epsilon. All rights reserved. Last modified