PHI ETA SIGMA

CHAPTER ORDER FORM

CHAPTER        DATE OF INDUCTION 

                           (School Name) 

CHAPTER ADVISER’S SIGNATURE 

  Student memberships with key @ $20 each
  Student memberships with tie tac @ $20 each

  Honorary memberships with key @ $20 each

  Honorary memberships with tie tac @ $20 each

  Replacement keys @ $3.50 each

  Replacement tie tacs @ $3.50 each

  Replacement certificates @ $3 each

  Banquet program covers @ $.15 each

  Honor cords (minimum order—10) @ $8 each

  Honor medallions (minimum order—10) @ $8 each

  Crests (2 ft. by 3 ft.) @ $25 each

              (to be framed for chapter activities)

AVAILABLE WITHOUT CHARGE (please indicate quantities requested):

  Phi Eta Sigma Question and Answer Brochures

  Phi Eta Sigma Overview Brochures

  Membership Pads (100 slips per pad)

  Induction Ceremony Booklet (max. 2 copies per order)

  Chapter Adviser’s Manual (max. 2 copies per order)

Membership slips should be submitted with this form three weeks before induction to:

Grand Secretary-Treasurer John W. Sagabiel
Phi Eta Sigma National Honor Society

1906 College Heights Blvd. #11062

Bowling Green, KY  42101-1062

(Office phone:  270-745-6540)

(Home phone:  270-843-1354)

Make checks payable to Phi Eta Sigma National Honor Society.

Please visit our web site for additional items available to chapters and to

individual members:  www.phietasigma.org