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Edmond Alumnae Club

2013-2014 Membership Form


Join the Edmond Alumnae Club by completing the form below along with a check made to Pi Beta Phi.
Mail your form and payment to Lynda Barnes, 4941 NW 234th St., Edmond, OK 73025. Or bring
your form and payment with you to an upcoming meeting.
2013 Graduates are FREE!
First Name: _______________________________________________
Last Name: ________________________________________________
Maiden: __________________________________________________
Chapter/Initiation Year: ______________________________________
Would you like to receive newsletters & reminders? Yes No
Are you interested in hosting events at your home?

Yes

No

Address: ________________________________________________________
City: ______________________________ Zip: _____________
Home Phone: _____________________________________________
Work Phone: _________________________________________
Email:
____________________________________________________________________________________

** Payments are not tax deductible. Please indicate your giving level below:
______ 2013 Graduate
______ 2013-2014 Standard Dues: $45 for alumnae or $40 for Golden Arrows
______ Sweet Carnation Alumnae: $70 ($25 for International Dues, $45 for Edmond Alumnae Club)
______ Heavenly Halo Alumnae: $75 ($25 for International Dues, $50 for Edmond Alumnae Club)
______ Soaring Arrow Alumnae: $100 ($25 for International Dues, $75 for Edmond Alumnae Club