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 Life Event Notification Form

Please use this form to notify the committee of significant life events concerning a member, their immediate family or a close loved one. Your submission will help us acknowledge and support our members during important moments. 

Are you a chapter member?
Yes
No
I'm not sure
Type of event being reported?
Bereavement / Death in the family
Birthday
Marriage / Wedding
Anniversary
Birth / Adoption
Illness or medical emergency
Graduation
Promotion
Other

Provide all relevant details, such as special circumstances, a preferred contact person, or the address for sending cards or gifts.

Only complete if Bereavement / Marriage / Birth / Illness selected  

Only complete if Bereavement / Marriage / Birth selected

What is your recommendation to the committee?
Send a card
Send flowers or a gift
Send a meal
Make an announcement at the next meeting
Include information in Chapter Newsletter
Organize a collection
Other

The committee will make every effort to honor your request; however, please note that the final decision rests solely with the committee.

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