EmailMeForm
PAPhi Pledge Report & Pin Request Form
Fill out this form and provide a pledges list to request pledge pins for your chapter.
After pressing "submit" at the bottom of this page, you will be sent a confirmation. It will also be emailed to the Pi Alpha Phi office for processing.*
*NOTE: please place orders at least two weeks in advance to allow for the office to verify the chapter's good standing, for payment processing, and shipping of your order.
Chapter & Submitter Information
Chapter Name
*
Please select
Eta Chapter (UC Irvine)
Theta Chapter (UC San Diego)
Iota Chapter (Michigan)
Kappa Chapter (Arizona)
Xi Chapter (Washington)
Omicron Chapter (UC Santa Barbara)
Pi Chapter (Iowa)
Tau Chapter (North Carolina State Univ)
University of South Carolina
Upsilon Chapter (SFSU)
Chi Chapter (Clemson Univ)
Psi (Iowa State Univ)
Colony: Arizona State Univ
Colony: Univ at Buffalo
Colony: UNC, Greensboro
Submitter Name:
*
First
Last
Submitter Email Address
*
Submitter Phone
*
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Chapter Pledges Information
Number of Pledges
*
Date when pledges will be initiated
*
MM
/
DD
/
YYYY
An approximate date is acceptable but you must fill out this field.
Report Form Instructions:
-
Click here
to open a new window. Download this Excel spreadsheet and save it to your computer. Rename it PAPhi_Pledges_CHAPTER_TODAYSDATE, enter the requested information, then save and close the spreadsheet. You will upload it in the next step.
(please replace CHAPTER with your chapter name and TODAYSDATE with today's date - i.e. 18Oct2019)
Upload your Pledge List (required)
*
You must provide us with First and Last Name, school email, a personal (or alternate) email, and a phone number for each Pledge.
Pin Request Information
Number of Pledge Pins requested
*
Ship to Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Additional Instructions or Information
Add notes here for special requests or notes for the office.
Order Request Number (auto-fill)
After pressing "submit" at the bottom of this page, you will be sent an email confirmation. It will also be emailed to the Pi Alpha Phi office for processing.
If you select "save and resume later," you will be redirected to a screen with the URL. You have 7 days to return to this form to complete and submit it.