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Attachment A ~ A Sample Letter to Family on Disposition of Paraphernalia (Cont’d)

Alpha Phi Alpha Fraternity, Inc

Notice of Initiation into the Omega Chapter

Name of Brother ________________________

Chapter of Initiation

into Alpha

First Name _________________ Last Name MI

Date of Imitation into Alpha

______________

Date Initiated Into Omega Chapter

__________________

Please attach a brief bio for publication in the Sphinx Magazine®

Please certify the disposition of the paraphernalia*:

Official Paraphernalia was Disposed of in the following manner: (Please check all that

applies)

Given to another

Presented to

Mailed to

Alpha Brother

Local Chapter

National Office

Burned

NA

1.

Fraternity Pin

Y

___

N

___

Y _ _ _

N

___

Y

___

N

___

2.

Life Member Pin

Y

N

Y

N

Y

N

___

___

___

___

___

___

___

3.

Other Alpha Pins

Y

___

N

___

Y

_ _ _

N

___

___

4.

Other Alpha Logo Ware (Shirts, Hats, Cups, etc)

Y

___

N

___

Y

___

N

___

Y

___

N

___

Y

___

N

___

___

___________________________ Signature ~ Family Member

_______________________________ Signature ~ Chapter President

____________________________

______________________________

Date

Date

*All fraternal symbols, including the Name Alpha Phi Alpha, the letters AFA, “06”, and “The Sphinx” are registered and trademarked symbols of the national organization. Anyone wishing to use these symbols for any purpose must receive express written permission from the Corporate Headquarters. Authorized chapters and financial brothers of Alpha Phi Alpha Fraternity, Inc. are automatically granted permission to utilize these symbols.

Please forward this form to:

ALPHA PHI ALPHA FRATERNITY, INC.

®

Corporate Headquarters 2313 Saint Paul Street B a l t i m o r e , M a r y l a n d 2 1 2 1 8 -5 2 1 1 www.alphaphialpha.net Phone: 410.554.0040 ? Fax: 410.554.0054

28

15th Draft 9/18/07

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