Philadelphia Alumnae Chapter September 2015 to Aug 2016 Membership Year* Membership Category Fees: $60 Alumnae Chapter Member $44 Life Loyal Member $25 First-year Alumna (Graduating in 2015)
*Fees are due by November 1, 2015. 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: _____________ Mailing Address: _________________________________________________________________________________ Day-time phone: _________________________________ Evening phone: ___________________________________ Email Address: ______________________________________________________________________ Membership Number: ________________________ Life Loyal Number (If applicable.): ____________________ (Your membership number is the seven digit number on the To Dragma mailing label.) Occupation:_________________________ Spouse/Children:________________________________ □ I am interested in hosting/coordinating an event. □ I prefer to receive chapter communications by phone.
□ I am interested in serving on a committee. □ I am interested in volunteering.
Please write any comments or ideas for future events on the back of this membership form. All members may give additional 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