delta delta delta
Delta Delta Delta
2017-2018
Space Coast Alumnae Chapter Membership Form (Membership Year: August 2017-July 2018)
If all information is the SAME as last year please just include name and dues level & communication choice. Miss Mrs. Ms. Dr. Street Address:
Last Name:
First:
Maiden:
City, State, Zip Code:
Email Address:
Tel No
College / University:
Cell
Birthday (Month / Day)
Work Phone
Spouse / Partner Name: I.
Dues Information: Choose only One (Make checks to: DELTA DELTA DELTA.) DUE BY OCTOBER 20, 2017 $60 $45 $35 $35 $25
Patron Member (Membership dues plus a donation to the chapter to assist it financially) Standard Alumnae Membership Golden Circle Member (50+ years, Tri-Delta Sisterhood) 2016 or 2017 Collegiate Graduate Life Loyal Member
(Local Membership dues)
Sisterly Services: Assist with member In-Reach Program; calling / visiting / reaching out to sisters to learn how they are doing / what they are doing. (County) (School) Provide a reference for
Alumnae Chapter Support: Serve as an officer, chairperson or committee member. Areas of interest and / or skills: Host a Chapter event or Group in my home or clubhouse. Suggest the following program ideas:
Transportation / Carpool Information: I am interested in carpooling (as a driver or rider to / from events); I live / work in: _______________ ____________________________________________________________________________________________________________
III. Communication: Members will receive information electronically, unless requested otherwise. I would like to receive the Pansy Post Newsletter as a printed hard copy. I would like to receive my Membership Directory as a printed hard copy. I would like to receive Event Invitations as a printed hard copy. I would like to receive cell phone texts for event reminders.
Membership Forms and Checks should be sent to:
Lacey Robbins, Treasurer 561 Spring Lake Drive Melbourne, FL 32940
MEMBERSHIP FORM IS STILL REQUIRED Email: [email protected] …if dues are paid on-line via Pay-Pal
[email protected] 321-626-5421 (Cell)
Facebook.com\spacecoasttrideltaalumnae
http://spacecoast.tridelta.org/index
Website: http://spacecoast.tridelta.org
2017-2018
Space Coast Alumnae Chapter Membership Form (Membership Year: August 2017-July 2018)
If all information is the SAME as last year please just include name and dues level & communication choice. Miss Mrs. Ms. Dr. Street Address:
Last Name:
First:
Maiden:
City, State, Zip Code:
Email Address:
Tel No
College / University:
Cell
Birthday (Month / Day)
Work Phone
Spouse / Partner Name: I.
Dues Information: Choose only One (Make checks to: DELTA DELTA DELTA.) DUE BY OCTOBER 20, 2017 $60 $45 $35 $35 $25
Patron Member (Membership dues plus a donation to the chapter to assist it financially) Standard Alumnae Membership Golden Circle Member (50+ years, Tri-Delta Sisterhood) 2016 or 2017 Collegiate Graduate Life Loyal Member
(Local Membership dues)
Sisterly Services: Assist with member In-Reach Program; calling / visiting / reaching out to sisters to learn how they are doing / what they are doing. (County) (School) Provide a reference for
Alumnae Chapter Support: Serve as an officer, chairperson or committee member. Areas of interest and / or skills: Host a Chapter event or Group in my home or clubhouse. Suggest the following program ideas:
Transportation / Carpool Information: I am interested in carpooling (as a driver or rider to / from events); I live / work in: _______________ ____________________________________________________________________________________________________________
III. Communication: Members will receive information electronically, unless requested otherwise. I would like to receive the Pansy Post Newsletter as a printed hard copy. I would like to receive my Membership Directory as a printed hard copy. I would like to receive Event Invitations as a printed hard copy. I would like to receive cell phone texts for event reminders.
Membership Forms and Checks should be sent to:
Lacey Robbins, Treasurer 561 Spring Lake Drive Melbourne, FL 32940
MEMBERSHIP FORM IS STILL REQUIRED Email: [email protected] …if dues are paid on-line via Pay-Pal
[email protected] 321-626-5421 (Cell)
Facebook.com\spacecoasttrideltaalumnae
http://spacecoast.tridelta.org/index
Website: http://spacecoast.tridelta.org
