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Event Title:

Event Purpose:

Philanthropy Fundraiser One-On-One Four Way Date Party Formal Other (Specify) Other:

Date of Function:   Time of Function: to

Location of Function:   Estimated Attendance:

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Host/Sponsoring Chapter: Alpha Tau Omega Alpha Sigma Phi Delta Chi Delta Sigma Phi Lambda Chi Alpha Phi Sigma Kappa Sigma Alpha Epsilon Sigma Chi Sigma Lambda Beta Sigma Phi Epsilon Sigma Pi Tau Kappa Epsilon

Chapter Contact Name:

E-mail:   Phone Number:

Chapter President:

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Does this event include the use of a third party vendor? Yes No
If yes, click to download the Third Party Vendor Form; 3rdPartyVendorForm.pdf

Co-Sponsoring Chapters / Organizations:

Chapter: Contact:
Phone:

Chapter: Contact:
Phone:
Chapter: Contact:
Phone:

I acknowledge that all of the above information is accurate.