ESG Chapter Initiation Order Form

Chapter Initiation Order Form
Name of Chapter and University
Advisor of Chapter
Email
example@example.com
Initiation Ceremony Date
Ship to address (use a residential address to avoid delays in shipping)

My Products
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Student Membership (1 Year)
1 Year ESG Student Membership of local chapter and national membership privileges.

$50.00 Quantity
Item subtotal:$0.00



Student Membership (3 Year)
3 Year ESG Student Membership of local chapter and national membership privileges.

$75.00 Quantity
Item subtotal:$0.00



Student Membership Renewal
ESG Student Membership Renewal for 1 year of local chapter and national membership privileges.

$25.00 Quantity
Item subtotal:$0.00



Honor Cord
ESG Green and Gold Honor Cords for Graduation; National Members Only

$20.00 Quantity
Item subtotal:$0.00



Scholarship Key
Scholarship Key for National Members Only (Must be a Chapter Advisor or have Chapter Role to order)

$20.00 Quantity
Item subtotal:$0.00



ESG Tablecloth
Rebranded ESG Logo Table Runner

$75.00 Quantity
Item subtotal:$0.00



Shipping
USA Shipping

$25.00 Quantity
Item subtotal:$0.00



Total

$0.00
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First Name Last Name Email New Members (* by 3 Yr Members)
First Name Last Name Email Renewing Student Members)

File Upload

Please upload your chapter roster here. Include new and renewal members notating with an asterisk those with 3-year Membership. Last Name, First Name, Email Address must be included.
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