Visitor Verification Form
Greensboro Alumnae Chapter of Delta Sigma Theta Sorority, Inc.
Name (please include maiden name if applicable)
*
Prefix
First Name
Middle/Maiden Name
Last Name
Membership Number
Are you a first-time visitor?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number (preferred)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Date of Initiation
-
Month
-
Day
Year
Date
Chapter of Initiation - If initiated as a collegiate, please include the name of the college/university.
Referring member of the Greensboro Alumnae Chapter (if applicable)
Please provide the most recent chapter where you were a member:
If you have access to the national website and Membership Center on the Members Portal, please upload your membership verification letter or membership card.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Photo
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please verify that you are human
*
Submit
Should be Empty: