Please fill out the following form and an auto reply will be instantly e-mailed to you.
The form results will go to the the TSDAR State Registrar, State Treasurer, and
Chapter Computer Code:
Chapter Officer's Name:
Chapter Officer's E-Mail Address:
Please complete the following information
regarding your deceased member:
Deceased Member's Full Name:
Deceased Member's National Number:
Deceased Member's Date of Death:
Other Information (e.g. Chapter, State, or National Offices held):
NOTE: You must still notify the NSDAR
Organizing Secretary's office via e-membership or mail - this form does
NOT go to NSDAR!
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