Reclamation Form
Please complete the form below if you are currently an inactive member of Iota Sweethearts, Inc. seeking to re-activate your membership. Please complete all fields on the form. You will receive next steps within 24-48 hours. Thank you.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Membership Information
Please complete your membership information below. Thank you!
Chapter
*
Chapter you attained membership
Date of Membership
*
-
Month
-
Day
Year
Date
Last Chapter of Membership
*
Last chapter you were active with
Region of Reclamation
*
Please enter current region in which you reside
ISI Member that reclaimed you
Submit
Should be Empty: