New Chapter Request
Complete AFTER recruiting at least 12 prospective members
S/P/N President Social Security Number:
This will be used for the EIN application with the IRS. If you are an International P/N, leave blank.
S/P/N Vice-President for Membership/Membership Consultant:
Date Approved by S/P/N Executive Board:
At least 12 prospective members have been recruited?
New Chapter City:
Designated Sponsor's Email:
Designated Sponsor's Cell Phone #:
Please enter a valid phone number.
Designated Sponsor's Mailing Address:
Street Address Line 2
State / Province
Postal / Zip Code
How would you like to receive your new chapter charter?
Headquarters will send the chapter name, charter and EIN number to the designated sponsor.
Should be Empty: