North Central Texas Alumnae of Delta Zeta
Membership Form 2008-2009

Please complete this form to submit your current member information to the NCTA chapter.
*Indicates required fields.
If you prefer not to submit your information online you can use this form and then print using the print feature of your browser. You may need to adjust the print settings in your browser to print the entire form.

CLICK HERE if you wish to return to the NCTA Web site.

*First name:
Maiden name:
*Last name:
*Email address:
Birthday:
Home phone number (with area code):
Cell phone number (with area code):
Work phone number (with area code):
Street address (include apt if applicable):
City:
State:
Zip:
College chapter name:
Initiation year:
College/University:
Occupation:
Place of Employment:
Husband:
Children's names and ages:
Who have you encouraged to join? If possible include contact information (email preferred).
Are you willing to be a co-hostess? Yes No
How did you hear about the DZ-NCTA site? A popular search engine Link from www.deltazeta.org Link from another site From a friend

May we use your photo on the www.geocities.com/dzncta web site and linked pages: Yes, you may use pictures that include me on the web site. No, do not post pictures that include me on the web site.
Do you have a personal website, facebook site, myspace site, IM ID, or any other form of online communication you would like to share with the chapter?
Are you connected with an organization that could use our help? We are interested in service projects and philanthropy.
Membership level: $37 Membership $16 Distance membership $11 New Graduate
Dues can now be paid online. Please check your payment preference below: I'm ahead of the game and have already paid my dues! I've paid my dues and just needed to update my member information. I already know how to pay my dues through paypal. I'm going there now. To send money to the chapter use the chapter email address: [email protected] Please send directions for paying dues through paypal. I would like an invoice sent to me by email. I prefer to mail my dues to the Treasurer. Please send her mailing information. Note: (Names and addresses of members are considered private and are not posted on this web site. You will be sent mailing information (checks can be made out to Delta Zeta) once your information is received and verified.)
If you have any comments or suggestions please add them below:

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