delta delta delta

2016-2017 Naples Area Alumnae Chapter Membership Form Please complete and return the following questionnaire along with your dues check. Our roster will be created from this information. Dues information is listed below. Name___________________________________________________ Husband __________________________________ Last First Maiden Local Address ______________________________________ Community_______________________________________ (i.e. Moorings, Marco, Vineyards) City ____________________________________________________ State _____________ Zip ______________________ Phone Number(s) ____________________________________________________________________________________ Home Cell E-mail (Print CLEARLY) ________________________________________________________________________________ College ________________________ Chapter ______________ Initiation Year __________________________________ Northern Address ________________________________________ Phone______________________________________ I usually arrive in Florida about ________________________ and leave about ____________________________________ __________________________________ If you were initiated in 1966 or before and would like to receive the Golden Circle Degree (honoring 50-year members) at Founders’ Day on November 12, 2016, please check here __________ ANNUAL MEMBERSHIP DUES (Choose your level below) You MUST pay NATIONAL DUES ($20) as part of your membership UNLESS: *You are LIFE LOYAL (pre-paid lifetime membership). (My Life Loyal # _______________) *You ALREADY PAID for the 2016-2017 year in another chapter _______________(List chapter) YOUNG ALUMNAE MEMBERSHIP – (Discounted for those who graduated in 2011 or later) $35 or

$15 (Life Loyal)

REGULAR ALUMNAE MEMBERSHIP -- (Regular dues for those who graduated earlier than 2011) $40 or

$20 (Life Loyal)

GOLD ALUMNAE MEMBERSHIP – (Those who wish to contribute extra $15 to FGCU Scholarship Fund) $55 or

$35 (Life Loyal)

FOUNDATION CONTRIBUTION – (OPTIONAL) (Your share of our annual donation to Tri Delta Foundation) $1 MY TOTAL _______________ Please make your check payable to DELTA DELTA DELTA for the total above and send as soon as possible to the address below. Our Roster/Telephone Directory will list and be distributed to all dues-paying members. MAIL TO: Ashley Armstrong Valentine. Membership Chair, 7915 Preserve Circle, Apt. 238. Naples, Fl. 34119-6711

HELP MAKE OUR ALUMNAE CHAPTER STRONGER! SERVE AS AN OFFICER I WILL SERVE AS VP THIS YEAR (2016-2017) I WOULD CONSIDER SERVING AS A SHADOW FOR THE FOLLOWING OFFICER POSITION NEXT YEAR (2017-2018) PRESIDENT

 VICE PRESIDENT  SECRETARY

 TREASURER

I WOULD CONSIDER SERVING ON A STANDING COMMITTEE (check all that apply)

 MEMBERSHIP  PHILANTHROPY  HISTORIAN REFERENCE  PUBLICITY  PANHELLENIC  COMMUNICATIONS & SOCIAL MEDIA  SCHOLARSHIP  PROGRAMS  COLLEGIATE RELATIONS  ALUMNAE CHAPTER ADVISOR  CORE EVENTS  FOUNDERS’ DAY  HOLIDAY TEA  CHINESE AUCTION  PANSY BRUNCH

I AM INTERESTED IN PARTICIPATING IN THE FOLLOWING GROUPS (check all that apply)

 BOOK CLUB

 MARCO DELTAS

 I NEED

OR

 DELTA PEARLS

 YOUNG ALUMS

 I CAN PROVIDE CARPOOLING

 I CAN SPONSOR A LUNCHEON/MEETING AT MY CLUB NAME OF CLUB _______________________