2018 LITTLE ROCK KAPPA KAPPA GAMMA ALUMNAE

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LITTLE ROCK KAPPA KAPPA GAMMA ALUMNAE ASSOCIATION DUES AND INFORMATION FORM NAME: ______________________________________________________________________ First Maiden Last ADDRESS: ____________________________________________________________________ Street City State Zip Email: ________________________________

Preferred Phone:_______________________

Chapter: __________________ Initiation Year: ________________ Basic Dues: • Kappa Klassic Member (initiated in or before 1967) • First Year (2017 Graduates) • Basic Membership OR “Giving Level” Dues: • Blue Owl Member • Fleur de lis Member • Golden Key Member • Diamond Sapphire Member

$25 $22 $45

$46 - $49 $50 - $74 $75 - $99 $100+

Please make check payable to KKG Alumnae Association Mail to: Alex Talley 8524 Linda Lane Little Rock, AR 72227 Questions? Please contact Alex Talley, Treasurer, at [email protected] or via phone (501) 920-0577.

*You may also pay your dues using Paypal* www.paypal.com, [email protected]