2022 Preamble Institute Delegate Registration

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Preamble will again be virtual because of COVID-19. Preamble Institute has been redesigned this year and will be held on Sunday, January 16 at 1:00pm-6:45pm EST. This form is for the required Charge delegate to the 2022 Preamble Institute. Please complete the form in full. Please contact Bro. Drew Johnson at 773.230.5593 or glstaff@TDX.org if you have any questions.

Full Name *

Charge *

Alpha

Beta

Beta Deuteron

Delta Deuteron

Epsilon Triton

Gamma Deuteron

Gamma Triton

Iota Triton

Lambda Deuteron

Mu Triton

Nu Triton

Omicron Deuteron

Psi Deuteron

Psi Tetraton

Rho Proteron

Rho Triton

Sigma Deuteron

Sigma Triton

Tau Tetraton

Tau Triton

Theta Deuteron

Upsilon Deuteron

Xi Deuteron

Xi Triton

Delegation (Usually four years from your first year of school) *

E-mail *

Phone (Mobile) *

Would you like a staff member to contact you to discuss accessibility or accommodation concerns due to the virtual nature of Preamble? *

Yes

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