ΨΩPsi Omega Fraternity1040 Savannah Highway, Charleston, SC 29407843.556.0573 / E-mail:psiomega@bellsouth.net

Dear Brother or Sister,

The undersigned has been regularly balloted for and found worthy of becoming a Brother/Sister of the Psi Omega Fraternity. The applicant trusts that there is nothing upon the records that will deter him/her from such honors; and hereby agrees that if he/she is admitted into the Fraternity, he/she will abide by the Constitution and Ritual of the order, the By-laws of the Chapter, and the rulings of the National Council. He/She has never been a member of any other similar dental fraternity. The applicant respectfully petitions a writ of dispensation empowering the President to confer on him/her the Active Degree of this Fraternity.
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I, the undersigned, in signing this pledge of Psi Omega Fraternity, do declare upon my honor that I have never been pledged to any Greek Letter Dental Fraternity, and if initiated into this fraternity, do bind and obligate myself never to become a member of any other Greek Letter Dental Fraternity. I do hereby agree to accept and wear the regular pledge button of Psi Omega Fraternity.I understand that this pledge indicates on my part a choice of dental fraternities.This pledge is in no way to affect my attitude toward or association with members of other fraternities. I accept this pledge and these obligations fully realizing the consequences and importance of this act and in proof thereof affix my signature.
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$60 One-Time Initiation Fee

The Initiation Fee of $60 accompanies this petition. This amount entitles the applicant to the Frater and the Chapter to an official badge for the applicant. Signed pledge form must accompany this application. This petition must be filled in and forwarded to the Executive Director, who finding everything satisfactory will empower the President to initiate the petitioner. A President conferring initiation without receiving such authority will be expelled from the Order.
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Dear Brother or Sister,

Membership Form:

$60 One-Time Initiation Fee