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Notice of Member Death

Deceased Member Information

On behalf of the brothers of Beta Theta Pi, please accept our deepest condolences on the loss of your family member, friend or loved one. This survey will allow us to update his member record and inform other members of his passing.

Please provide as much information about the deceased brother as is known.
1. Name
This question requires a valid date format of MM/DD/YYYY.
calendar
This question requires a valid date format of MM/DD/YYYY.
calendar
4. Parent Names
5. Marital Status
8. Which Branch?
If an obituary is available, please provide its online URL or upload a PDF.
10. Obituary File Upload