Lambda Iota Chapter

Omega Psi Phi Fraternity, Inc.

 

Que Registry

 
Omega Psi Phi Fraternity, Inc.
Lambda Iota Chapter
712 Second Avenue, Columbus, GA 31901

Brother's Full Name:

                                      Last   First   Middle    

 Address:
                 Street/ RFD/ P.O. Box

 

Martial Status:  Single

                           Married

                           Wife's Name

                           Seperated / Divorced

 

                  
            City            State     Zip

 

 

Phone: Home
             Work

Date of Birth:
                        Month / Date / Year		 Chapter Initiated & Date:

College / University Initiated:                             
                                                   Name                               City                                  State

Last Chapter Active In:                                       
                                          Name                                  City                       State                Date

Reason for not being active(Looking for honest and frank opinions):

 


 

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