Philadelphia Alumnae Chapter September 2016 to Aug 2017 Membership Year* Membership Category Fees: $60 Alumnae Chapter Member $44 Life Loyal Member $25 First-year Alumna (Graduating in 2016)
*Fees are due by November 1, 2016. Those who join the chapter on or before our first event will automatically be entered into a drawing for a special thank-you gift.
Member Contact Information Current Last Name: ___________________________________ Initiated Last Name: __________________________ First Name: ___________________________ College: __________________________________________________ Collegiate Chapter: __________________________________ Initiation Year: _________ Birthday: _____________ Occupation:____________________________ Spouse/Children:___________________________________________ Mailing Address: _________________________________________________________________________________ Phone: _________________________________ Email Address: ___________________________________________ Preferred methods of contact for notice of chapter news and events: □ email □ text □ phone call □ snail mail □ Website http://philadelphia.alphaomicronpi.org/ □ Facebook https://www.facebook.com/aoiiphilly/ □ Twitter https://twitter.com/AOIIPhilly □ Other______________________
In addition to the Membership Fee, Members may give optional financial support to the AOII Foundation and/or to the Philadelphia Alumnae Chapter. $ _____ Membership Fee (See Membership Category Fees above) $ _____ Philly AOII Wherever Most Needed $ _____ Philly AOII Philanthropic Efforts (AOII Foundation, Camp JRA) $ _____ Endowment Fund $ _____ Ruby Fund $ _____ Brick to Commemorate 100th Anniversary of the Philadelphia Alumnae Chapter $ _____ Other (please specify) _______________________________________________ $ _____ TOTAL AMOUNT ENCLOSED Make checks payable to “Alpha Omicron Pi, Philadelphia Alumnae Chapter” and mail along with this form to: Kathy Borzell, Treasurer 212 Warren Avenue Berwyn, PA 19312