Certificate Ordering

Please use this form to order certificates.

CERTIFICATE PAYMENT:   
Please send a single check or money order payable to:
ALPHA ETA RHO
c/o Robert H. Clement, Executive Director
1839 Mossy Oak Lane
Collierville, Tn 38017
 
For payment questions please email or call the
AHP Executive Director
bobclement@earthlink.net
Office:  (901) 853-7711   
Cell:  (901) 240-6860

Mailing Information
Please provide complete mailing information.
Initiation Information
Please enter each new member on a separate line.
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