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Fall Semester: August 2018
Please include City and State:
Please include City & State if address is located outside Springfield.
At least one registered local agent must be provided. The registered local agent must be an individual, not a business entity. You may submit up to 4 agents
I verify that the above information is true and accurate. It shall be unlawful for any person to make a false statement in any Application for Registration of Fraternity & Sorority Houses.
This field is not part of the form submission.
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