Membership Transfer Form

Please read this important introduction to the Membership Transfer Form before proceeding.

Important note: This form can only be submitted by an advisor. The advisor's name and e-mail address on this form MUST match that of the advisor on Headquarters records for the chapter, or the transfer will not be completed.

All answers on this form are required for submission - it must be completed in full before it can be submitted.

Member's Name:

Member's Identification:

College/Chapter Transferring From:

College Transferring To:

Chapter Transferring To:

Member's Name When Inducted:

Member's Current Address:

City:

State:

Zip:

Member's Telephone Number:

E-mail Address:

Name of New Chapter Advisor:

E-mail of Member's New Chapter Advisor:

If the information on this on-line form is complete and ready to be sent to Headquarters, press Submit. If you would like to clear the form and start over, or wish to complete the form at a later date, press Reset