IB 370.3

7/06

(PP, Chair-Chapter Patrons)

DELTA OMICRON

INTERNATIONAL MUSIC FRATERNITY

Chapter Patron/Patroness List

List the names and addresses of chapter patrons/patronesses and send to the Province President. Please keep a copy in the permanent Chapter Patron/Patroness File.

CHAPTER _________________________________________

Name Address Induction Date.

1. ____________________________________________________________________________

2. ____________________________________________________________________________

3. ____________________________________________________________________________

4. ____________________________________________________________________________

5. ____________________________________________________________________________

6. ____________________________________________________________________________

7. ____________________________________________________________________________

8. ____________________________________________________________________________

9. ____________________________________________________________________________

10. ___________________________________________________________________________

11. ___________________________________________________________________________

12. ___________________________________________________________________________

13. ___________________________________________________________________________

14. ___________________________________________________________________________

15. ___________________________________________________________________________