Thank you for visiting our website. We are continually striving to improve our website to better serve the needs of those who might view it. This is your chance to help us out with any suggestions, ideas, criticism or just anything that might help the brothers of the Eta Beta Chapter of Theta Chi Fraternity better serve your needs. Please feel free to fill out as much or as little of the information in this form as is needed.


NAME

First: Last: Middle:

CONTACT INFORMATION

Email Address: Phone Number: ( ) -
Home Address:
Home Address:
City: State: Zip Code:

FEEDBACK

How did you find our website?
How can our site better serve your needs?

Do you have any comments or suggestions that might help us improve our website?
Do you have any non-website related questions, suggestions, or feedback for our chapter?
Check this box if you would like someone in the chapter to contact you to discuss any of your comments or suggestions.