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

First

Middle

Last

2. College/University *This question is required.

3. Birthdate This question requires a valid date format of MM/DD/YYYY.

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4. Date of Death This question requires a valid date format of MM/DD/YYYY.

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5. Parent Names

Parent 1

Parent 2

6. Marital Status

7. Spouse/Partner Name

8. What Are/Were Their Names?

Country
Branch

9. Notable Lifetime Achievements

If an obituary is available, please provide its online URL or upload a PDF.

10. Obituary URL

11. Obituary File Upload

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