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Attn: Chapter Treasurer and Secretary – Please list here in the Active Member Name column, the complete roster of your active members for the semester/quarter, including any new initiates and transfer students your chapter has affiliated. Please also list those sisters who have been dismissed, graduated, gone abroad, transferred, or did not return to school and indicate their status in the fourth column. You will not be billed for these sisters.

Please list members alphabetically. Both the Chapter Secretary and Chapter Treasurer must enter their names on this form in the spaces provided. Please print a copy and keep one for yourself.
Chapter Name
Today's Date
(dd/mm/yyyy)
Chapter Secretary
 
Chapter Treasurer
 
#
Active Member Name Member Status  
1
 
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4
 
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100
 
   


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