Fillable Chapter Visit Request Form 2021-2023 (North Carolina DKG)

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Chapter Visit Request Form 2021-2023 (North Carolina DKG)

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The Chapter Visit Request Form 2021-2023 (North Carolina DKG) form is 1 page long and contains:

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  • 23 other fields

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File type: PDF

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Chapter Visit Request Form 2021-2023
Date____________________________
Chapter/s Requesting Visit __________________
_______________ Region _____________________
Chapter President_______________________________________ Phone #_____________________
Ad
dress__________________________________________________________________________________
City ____________________________________________ State __________ Zip _____________________
Email __________________________________________
Contact Name (if other than president)________________________________________________________
Address___________________________________________________________________________________
City ____________________________________________ State __________ Zip _____________________
Cell # ___________________________________ Email ___________________________________________
Meeting Date, Time, Location: Please provide all requested information.
First Choice ________________________________________________________________________________
Second Choice______________________________________________________________________________
Third Choice________________________________________________________________________________
Officer will be
⬜ Guest
⬜ Presenter, topic:___________________________________________________________________________
⬜ Conducting Chapter Ceremony (Member Induction, Officer Installation, etc.)
⬜ Attending Birthday Celebration _________Year
⬜ Other____________________________________________________________________________________
⬜ Yes
⬜ No
If state president is not available would you like another state officer to visit?
Send request to Beth Winstead, 2021-2023 NC DKG President
winsteadNCDKG@gmail.com or
1307 Holland Rd, Greenville, NC 27834
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Chapter Visit Request Form 2021-2023 (North Carolina DKG)

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Completed 12 July 2021

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