The Delta Kappa Gamma Society International

The Delta Kappa Gamma Society International Alpha Iota State – Michigan

SUBJECT: OFFICIAL STATE VISIT - 2007-2009 BIENNIUM Today’s Date: Chapter: From: Title: Requesting Visit of (Name of State Officer): 1st Choice: 2nd Choice: 3rd Choice: Chapter Contact Person: Address: Street/PO Box/Apt. # City State Zip Phone: E-mail: (Please include ONLY if you check regularly) Month, Date, Time of Meeting: 1st Choice: 2nd Choice: Location: (On reverse side, please provide specific directions and/or map) Nature of Meeting: Role of State Visitor: (On reverse side, or include with request) Attire (formal, dressy, etc.): ***Please include some background information about your chapter*** YOUR PROMPT RETURN OF THIS FORM IS APPRECIATED PLEASE SEND TWO COPIES OF THE COMPLETED REQUEST FORM TO: Judy Evers, State Visitations Chairman --1266 N. Edon Road, Allen, Michigan 49227 Phone: 517-869-2257 E-mail: [email protected]

NOTE: Please make ALL arrangements for an official state visit directly with the State Visitations Chairman listed above.

Visit Confirmed by: Date of Visit: ______2007-2009 Biennium