Alumnae Membership Form

Once you've paid your dues (see our home page, or contact membership@athensdg.com for offline payment options), please fill out our 2012 membership form so we can update our records.

By providing your email address, you are opting-in to our alumnae email list. Be assured we will never sell your email address or share it outside of Delta Gamma. If you do not wish to be contacted via email, please indicate this in the comments and suggestions section.

*(denotes required field)

First Name:*

Middle Name:

Last Name:*

E-Mail Address:*

Please verify your e-mail address.*

(to make sure we have the correct one!)

Maiden Name*

Mailing address*

Type of phone number 1:

Home
Cell
Work

Phone number 1

Type of phone number 2:

Home
Cell
Work

Phone number 2

Chapter and Year of Initiation*

School Name and City/State of School*

Member Number (if known)

Spouse's First and Last Name (if applicable)

Comments and Suggestions for the Group:

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