Update Your Information

Update Your Contact Information

The "Update Your Contact Information" form is being provided so that Theta Chi brothers can stay in touch with their fraternity. Please fill out as much information as possible so that Theta Chi Fraternity can keep an up-to-date record of all our members. If you have questions, please contact us at ihq@thetachi.org or by phone at (317) 824-1881.

Brother

First Name

Middle Name

Last Name

School

Graduation Date (mm/yyyy)

Chapter

Roster Number

Previous Mailing Address

Please provide your previous mailing address:

Address

City

Zip or Postal Code

State

Country

New Address

Please provide your previous mailing address:

Address

City

Zip or Postal Code

State

Country

Additional Contact Information

Please provide us additional contact information. We require an email address for this form to be valid.

Email Address

Cell Phone

Home Phone

Work Phone

Is there additional information you would like to share with us?

Additional Information