TO ALL CHAPTER DIRECTORUMS AND
SIGNARES
PLEASE SEND THE FOLLOWING INFORMATION TO THE SUPREME SIGNARE AS SOON AS POSSIBLE.
PLEASE SEND TO:
FRATER Stephen Imperato
202 Sapphire
Lane,
Franklin Park, NJ 08823
pi1023@hotmail.com
(Down-load & Print)
CHAPTER OFFICERS
FOR THE___________________Chapter
(Fraternal year _____ )
DIRECTORUM
_________________________________________________________________________________
ADDRESS
_________________________________________________________________________________
CITY
STATE ZIP
_________________________________________________________________________________
PHONE
E-mail
_________________________________________________________________________________
SUB-DIRECTORUM
_________________________________________________________________________________
ADDRESS
_________________________________________________________________________________
CITY
STATE ZIP
_________________________________________________________________________________
PHONE
E-mail
_________________________________________________________________________________
SECOND SUB-DIRECTORUM
_________________________________________________________________________________
ADDRESS
_________________________________________________________________________________
CITY
STATE ZIP
_________________________________________________________________________________
PHONE
E-mail
_________________________________________________________________________________
EXCHEQUE
_________________________________________________________________________________
ADDRESS
_________________________________________________________________________________
CITY
STATE ZIP
_________________________________________________________________________________
PHONE
E-mail
_________________________________________________________________________________
SIGNARE
_________________________________________________________________________________
ADDRESS
_________________________________________________________________________________
CITY
STATE ZIP
_________________________________________________________________________________
PHONE
E-mail
_________________________________________________________________________________
ASSOCIATE SIGNARE
_________________________________________________________________________________
ADDRESS
_________________________________________________________________________________
CITY
STATE ZIP
_________________________________________________________________________________
PHONE
E-mail
_________________________________________________________________________________
BELLARUM
_________________________________________________________________________________
ADDRESS
_________________________________________________________________________________
CITY
STATE ZIP
_________________________________________________________________________________
PHONE
E-mail
_________________________________________________________________________________