Alpha Epsilon Lambda - Graduate Students Honor Society

NOTE: a handling fee of $30 will be assessed all chapter orders in addition to actual shipping costs.

Fields with (*) sign are mandatory to be filled in.

Chapter:*

Chapter Representative Contact Information (for confirmation of this certificate request):

First Name:*
Last Name:*
Salutation:
Title:*
Email:*
Telephone:

Current President's Name (for certificate signature box):*

Note: If you want the certificates pre-signed by your chapter president then prepare a high-resolution, high-contrast signature image (transparent PNG) on a plain white background. You will receive a separate request to email AEL this file.

Number of Initiate Certificates Requested:*

Number of Initiate Pins Requested:

Book:

Image

Date of Ceremony (for inclusion on certificates):*

Mailing Address:

Name:*
Street Address:*
Address 2:
Address 3:
City:*
State:*
Zip Code:*

Requested Shipment Date:*

Initiates' Names:*
(please provide just one initiate name per line, show the order and the separator sign)

Order: Separator:

ACADEMIC MEMBERS*
See membership category descriptions at http://ael.gradschools.org/?page=qualifications
List all who meet the GPA criteria, including those nominated for Leadership Member status who also meet the GPA criteria.

LEADERSHIP MEMBERS
Those individuals who the chapter nominates as Leadership Members must complete the form at https://forms.gle/1x9u53NkyNyLNitk9
Note: Chapters nominate leadership members, but AEL HQ review and approval is required prior to awarding this category of membership. Only Leadership members are eligible to serve as chapter president, vice president and applicant review committee members.

NOTE: a handling fee of $30 will be assessed all chapter orders in addition to actual shipping costs.

	Honor Cord $10.00 In Stock Qty:
	Stole $30.00 In Stock Qty:
	Medallion $15.00 In Stock Qty:
	Banner $100.00 In Stock Qty:

Note: Upon hitting "SUBMIT" a new window will open. Scroll down this window, check your data and then press "SUBMIT." A confirmation message will appear. A confirmation email will also be sent to the email address you listed. If you receive no such confirmation email then there may be a problem with your entry and you will need to resubmit or contact us.