Dallas Area Night Alumnae Chapter

First Name
Last Name
Maiden Name

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

Occupation

College(s) Attended

Chapter

Year Initiated

Birthday

Do you have children?

Yes No

If yes, list names and ages

Spouse Name (if applicable).

If you no longer receive Themis Magazine at your home, your address is probably incorrect with International Office. Would you like for us to update I.O. for you?

Thanks, but I'm already receiving Themis Magazine
Yes, Please update IO so I can start receiving Themis Magazine again
No, please don't update IO with my new address at this time

Check if you're interested in being contacted about the following activities:

Getting involved with our chapter's major charity fundraiser
Texas Zeta Days (March 2008)
ZTA involvement at Race for the Cure in Dallas (October)

We like to keep in touch with you to remind you of our meetings, events and social activities.  Which form of communication do you prefer from us?

Email
Mail

 

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