2024 Memorial Form

Departed Mothers, Fathers and Children will be recognized during a Memorial Service on Sunday, July 28, 2024. Please complete this form no later than June 1, 2024 for those who transitioned between August 2022 - June 1, 2024. Please be sure to upload a picture of the deceased in .JPG or .PNG format.

Please a clear photo of the deceased in .JPG or .PNG format.

Drag and drop files here or

Deceased Profile

First Name, Middle Initial (or Maiden Name) and Last Name

Please indicate chapter affiliation at time of death.

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SURVIVOR INFORMATION

Cell Number is Preferred.

JACK AND JILL POSITIONS/ROLES

Please be sure to specify office(s) held and time of service if applicable.

Please specify office(s) held and time of service.

Please specify office(s) held and time of service.

Please share any special recognition or comments about the Deceased's service in Jack and Jill.