Potential New Member Information Form

Bid Day Party

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September 2010

Upcoming Event

Sep 10 - Sep 11

10

Sep
10
Bid Day Party

11

Sep
11
Bid Day Party

Thank you for your interest in Pi Kappa Phi. Just fill out the form below and your information will be submitted to one of our brothers who will contact you.

Sign Up
Name
Email Address
Phone Number
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High School
High School GPA
Are you on Facebook?
Where will you live while attending USA?
May we contact you? (select all that apply)	a) Yes, by Phone b) Yes, via Facebook c) Yes, by Email d) Yes, by Personal visit e) No thank you, not right now
According to IFC rules, we must know if you've been accepted at USA.
List your extra-curricular activities.
Do you have any questions or comments?