This request must be provided to the National Office within ten (10) days of the event.

    Please submit to: Rho Chi Society National Office, UNC Eshelman School of Pharmacy, CB#7569, 3210 Kerr Hall, 311 Pharmacy Lane, Chapel Hill, NC 27599-7569

    Date of Event

    Name of Event

    Number of Attendees

    Organizing Chapter

    University/College

    Region

    Contact Person

    Contact Title

    Contact Telephone

    Contact Email

    Attendees* Chapter Name University/College

    Narrative summary of the focus/accomplishments of the meeting


    List of actual expenses**


    Submitted by

    Sponsoring Chapter Advisor

    Chapter Advisor Name

    Signature

    *Send an additional sheet of attendees if necessary.

    **A list of actual expenses must accompany this request. Please attach receipts.