Initiate Badge Request Form

Please submit this form in order to have your badges delivered prior to your initiation ceremony. The form must be submitted at least 2 weeks prior to initiation to allow time for badges to be produced and mailed. 

Pull provide the full recognition name of each Initiate. This list of Initiates must be complete and in order of Initiation. Please number your Initiates as you complete this list.

Example:

1. John Doe

2. James Doe

3. Jack Doe

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