Philadelphia Alumnae Chapter

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Philadelphia Alumnae Chapter September 2017 to Aug 2018 Membership Year*

Membership Category Fees: $60 Alumnae Chapter Member $44 Life Loyal Member $25 First-year Alumna (Graduating in 2017) *Fees are due by November 1, 2017. 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



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Website http://philadelphia.alphaomicronpi.org/ Facebook https://www.facebook.com/aoiiphilly/ Twitter https://twitter.com/AOIIPhilly



Other______________________

text



phone call



snail mail

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