Language
English (US)
Visiting Sorors Information Request
Name
*
First Name
Last Name
Member #
Full Name when initiated if different from above name
*
First Name
Last Name
Delta Generations (please select your generation below):
Delta Dear (Ages 62 and over)
Delta Diva (Ages 36-61)
Delta Doll (Ages 21-35)
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Chapter of Initiation
*
Year of Initiation
*
Would you like to attend monthly Chapter Meeting?
*
Yes
No
Are you interesting in activating your membership with Jacksonville Alumnae?
*
Yes
No
Membership Type: (please select from below if interested in activating membership):
Regular Member
Diamond Life Member
Golden Life Member
Submit
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