Please send completed Chapter Report Forms to ORTA by February 1, 2025.

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Print a copy of this form. Complete the form by hand and send it to ORTA. 

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You can scan, or take a photo of, your completed form and send it to ORTA via email using this address: admin.asst@orta.org.

 

If you are submitting a deceased member report, scroll to the lower portion of this page to complete and submit that form electronically.