Chapter Certification / Renewal Form Chapter Certification / RenewalΔ Application Date:Application Type: New Certification RenewalUSPC Bylaws (required): We have read and agree with the U.S. Peace Council rules, principles and policies as outlined in the USPC Bylaws.Proposed Chapter Name:Chapter Address:Address Line 1Address Line 2CityStateZip CodeChapter Chair:First Name:Phone:Last Name:Email:Registered Chapter Members: At least 4 Additional Registered USPC Members Required.1. Member Name and Email:3. Member Name and Email:2. Member Name and Email4. Member Name and Email:Your Message or Comment:Annnual Chapter Certification Dues: $50.00Please Select Payment Method: Pay with Credit Card (Stripe) Pay with PayPal/Credit Card Offline PaymentPay with Credit Card (Stripe)Submit Form
