Beta Omega Reactivation, Transfer or Chapter Meeting Visit Request Form

Beta Omega Reactivation, Transfer or Chapter Meeting Visit Request Form
Thank you for registering to attend an upcoming chapter meeting.

Your registration will be received by the Reactivation Committee Chairman once you submit this form. She will email you a confirmation before your selected meeting.

Please be aware that only two (2) visits are allowed, and we kindly request an RSVP before the designated deadline. If you have any questions, please contact the Reactivation Committee Chairman at betaomegaphilacter2026@gmail.com .

This form is to be completed 3-5 business days before the monthly chapter meeting.
Choose your request
What Meeting would you like to attend?
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Name of Undergraduate or Graduate University
Initiation Date/Year
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Beta Omega Member Invited By
Type NA if not applicable
Should be Empty: