HCGSOHIO MEMBER SUBMISSION TO THE TRACER
(Memberships will be verified)

Member submissions made be made using
a postal mail version or the e-form below. 
Please use only one...do not use both to make a submission.

Please Complete The Following Information...
 

MEMBER TRACER SUBMISSION USING THE POSTAL MAIL
MS WORD  or  PDF

• Any information submitted below will appear exactly as you submit it unless edited.

• Check your spelling and punctuation.

• Any information submitted below will become public domain.

• The HCGSOHIO reserves the right to edit all submissions.

• This submission is free for Chapter Members.

• Only Chapter Members may use this e-form to make a submission.

• A copy of your submission will be automatically be emailed to you.

• Non-Members must make submissions using the Non-Member Submission Form.
   

Today's Date:

List Each Surname That Appears In Your Submission (Please use a comma to seperate each surname):

In 30 words or less, enter a brief description or query:
(Please be specific and detailed. Do not lump several submissions together as one.) :