Delta Phi Epsilon

Legacy Submission Form

Provide the following information about the legacy:

Legacy's First Name

Legacy's Last Name

Legacy's Address Line 1

Legacy's Address Line 2

Legacy's City

Legacy's State

Legacy's Zip Code

Legacy's Email

Legacy's Phone

Legacy's College/University

What semester will your legacy be participating in recruitment?

Provide the following information about the Member

First Name

Last Name

Member's Graduation Date

Member's College/University

The Legacy is My:

Member's Address Line 1

Member's Address Line 2

Member's City

Member's State

Member's Zip Code

Member's Phone Number

Member's Email

Today's Date