TRAVEL ROSTER AND ITINERARY

                                                CLUB

                                                                               
                                                YEAR

Event_________________________________________________________________

at____________________________________________________________________

(College or University, City, & State)

Estimated Time and Date of Departure____________________________________________________

Estimated Time and Date of Return______________________________________________________

Address(es) and Phone Number(s) where Club can be reached in an emergency (and effective dates):

FROM:         TO:                FROM:           TO:                FROM:            TO:

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TRAVELING ROSTER

First Name                          Last Name                        I.D. # or House Affiliation

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