Membership Form with Check Payment

Please print out and complete the form below. Checks are payable to "San Diego Alumnae Panhellenic", and can be mailed to current Treasurer (see contacts page). Please contact info@sdaph.org for a mailing address.

First Name:

Maiden Name:

Married Name:

Address:

City:                         State:             Zip:

Home Phone:(       )

Phone Other (specify):(      )

Email:

NPC Sorority:

Membership Level (Please Select One):

____ General Dues $3

____ First Year Alumna Membership Dues $0

____ I would like to also give an extra donation of $_____

Please feel free to include comments on things that you would like to see the alumnae chapter do or any special skill or talent you would like to offer.