Alpha Phi Fraternity - Alpha Phi Library

Silent Chapter Form

If you would like a silent chapter notice included in the Quarterly, please fill out the form below. Please be sure to include all requested information.

Please note: Announcements submitted will only be printed in the Quarterly if they have occurred within a year of submission.

Copy Deadlines for Quarterly Reports/Announcements

Winter Issue		Oct. 15*
Spring Issue		Jan. 15*
Summer Issue		April 15*
Fall Issue		July 15*

* Reports/announcements received after the copy deadline may be considered for use in the following issue, space permitting.

Silent Chapter
(Please Note: All fields are case sensitive. Type information as you want printed.)

Deceased's name*

(First name)

(Maiden name)

(Last name if different from maiden)

Deceased's collegiate chapter/school*
(Chapter / College or University)

Deceased's initiation year (e.g., YYYY)*:

Deceased's membership ID number
(may be found on membership card or on back of Quarterly magazine)

Confirm deceased's membership ID number

Deceased's date of passing, including year*
(Month / Day / Year)
/ /

Submitted By:

Name*

(First name)

(Maiden name)

(Last name)

Collegiate chapter/school
(Chapter / College or University)

Address (Street Address)

(City / State or Providence / Zip or Postal Code)

Home Phone (Area Code + Number)	Business Phone (Area Code + Number)

E-Mail*

* Please note: you must fill out all required information (*) in order to process your request. Please include either a telephone number or e-mail address in case of questions. Incomplete submissions will not be considered for publication in Quarterly.

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The information provided on this Web site or in any Alpha Phi International electronic media is intended for use by Alpha Phi members only. Alpha Phi International Fraternity does not accept responsibility for misuse of this information. Use by members or non-members other than its intended purpose is strictly prohibited.