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.
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.
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