REGISTRATION
ADDRESS: _________________________________________________________________
PHONE: EMAIL: ___________________________________________
ALUMNAE CHAPTER: ___________________________________________________
COLLEGIATE CHAPTER:_______________UNIVERSITY:_____________________
_____Current/Past National Officer:
Position (s) _____________________________
_____Alumnae Advisor:
Chapter _____ Position (s) ____________________________
______Certificate of Merit Recipient
______Honor Ring Recipient
______25 year Member
______White Violet: Initiation Year _____
Alumnae Member/Past White Violets������. $35.00
2009 White Violet Recipients�������.���. $20.00
Guest of White Violets Recipients�����.���. $35.00
Zeta Day 2009 T-Shirts:
Check a size:
__ S __ M __ L __ XL___XXL������.�.��.$12.00
Late Fee (after March 10th)������..�..$7.00
Zeta Tau Alpha Foundation Donation..�..$ _______
Total Enclosed:����$_______
Please remit no later than March 10th to:
Ms. Melissa Meraux
Louisiana Zeta Day
18278 Derbes Drive
Covington, LA 70433
QUESTIONS: Please contact:
Zeta Day Chairperson, Ms. Leanne Deibel, [email protected], 504-442-0323
or
Shari Fisher, District President � XA, [email protected],504-453-3972