Chapter Election Return

Use the form below to report your Chapter Election results. Elections should be held before the District and Supreme Conventions for the upcoming fraternal year.

Chapter Election Return Form

Chapter Name and Number

District Number

City & State

Date Elections Held:

Month

Day

Year

Results

Chapter President

Name

Serial Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Chapter Vice President

Name

Serial Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Chapter Secretary

Name

Serial Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Chapter Treasurer

Name

Serial Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Chapter Advisor

Name

Serial Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Respectfully Submitted By:

Chapter President Signature

Date

Month

Day

Year

Chapter Secretary Signature

Date

Month

Day

Year

Chapter Advisor Signature

Date

Month

Day

Year