Alpha Chi Omega Update Form

Alpha Chi Omega

Louisiana Tech University

Beta Psi Chapter

Name (First, Maiden, Last): _________________________________________________________________________________

Pledge Class: Fall / Spring Year:________________________________________________________________________

Address: _______________________________________________________________________________________________

City:________________________________________________ State:_____________________ Zip Code: ____________

Phone Number:(_______)__________________________________ Birthday (Month/Day):_______________________________

Email Address: ___________________________________________________________________________________________

Brief Update: ____________________________________________________________________________________________

_______________________________________________________________________________________________________

Your address and phone number will not be included on the webpage.

Date: ______________________________

Please mail or email to:

Attn: VP Fraternity Relations

P.O. Box 3127

Ruston, La 71272