Registration

 

To assure that we get all brothers on the Centennial mailing list, we are asking that everyone complete this on-line registration form that will permit us to get this information into a database so that we can make the brotherhood aware of all of the upcoming events, and also help the Historian in compiling information for the biographical section of the web site that will go up at a later time.

We are urging you to contact all brothers that you know, and make them aware of this site and the fact that Theta is planning a 100 year celebration and needs their participation.

If you are in the Chicago area and are interested in participating in this historic moment in the life of Theta, please contact us so that we can make you aware of meeting times and places.

Name:
Address:
Email Address:
School:
Chapter, if other than Theta:
Profession:
Phone: Home/Office:
Offices Held (Theta, District, Regional, National):
Memorabilia & Artifacts in your Possession:
Line Brothers:
Dean/Pledge Master:
Pledge Father/Sponsor
Pledge Son(s):
Current Chapter Affiliation/Location:
Other Organizational Memberships:
Date/Year of Initiation:
Family Members in Alpha/Theta: Name the Chapter