HARTFORD DELTA GAMMA

 

2004 – 2005 Hartford Alumnae Chapter Membership Form

Please e-mail this form to Betsy D. if you have paid your dues via Paypal:

 

If you prefer to pay by check or money order please contact Betsy D. For the mailing address.

Please make checks payable to Delta Gamma.

(Our fiscal year runs from July 1, 2004 to June 30, 2005)

 

Hartford Alumnae Chapter dues include your $18 per capita dues payment to Executive Offices, required of all of us until we become 50-year members

 

Dues for the 2004-2005 year are:

$30 before October 15, 2004

$35 from October 16, 2004 – June 30, 2005.

$50 for HELPFUL HANNAHS who generously agree to donate to our chapter in addition to their dues

$75 for ANCHOR CAPTAINS who generously agree to donate to our chapter in addition to their dues and assist in sponsoring our Annual Holiday Pot Luck Auction to benefit Service for Sight.

Name:

First                                         Middle/Maiden                                         Last

Address:

Street                                       City                          State                        Zip Code

 

Do you receive the ANCHORA at this address?     Yes          No           (circle one)

 

Phone Number:

Home                                       Work                                                        Cell

E-mail address:

Chapter of Initiation:                                                 College/University:

Year of Initiation:                                                                      Year of Graduation:

Occupation:                                                                              Employer:

Are you interested in volunteering for the HAC?

Officer                                      Programming                           Collegiate advising                   Foundation

Pot Luck Auction                      Membership                             Decade Captain                       Other

 

Which types of activities interest you?

Athletic Outings                         Casual gatherings                    Cultural events                         Daytime Activities

Educational seminars               Foundation events                   Family events                          other(please specify)

 

DG Hostess (Please help us by graciously offering your home, office or other space for events)

Will you host a DG event?                                        Yes          No           (circle one)

If yes, what kind of event?                                                        Location?                                                        

 

 

Please feel free to make additional comments on back of this form.