Chapter Visit Registration Form
Complete the form to arrange a Chapter Visit by one of our Provincial Officers
Name *
Position *
Your school *
Chapter Name *
School Address (including postal code) *
Email Address *
Cell phone number *
Please list a few dates and times that you would like a visit at (i.e. any Thursday at 3:30 PM, Wednesday October 31 at 11:40 AM, etc.) *
Presentation will be directed to: *
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