Nashville Alumnae Chapter
Delta Sigma Theta Sorority, Inc
Visiting Soror Verification Form
NAME
*
First and Last Name
MEMBER NUMBER
*
NAME AT INITIATION
*
First and Last Name
Email
*
Confirmation Email
example@example.com
CHAPTER NAME and DATE INITIATED
*
Chapter Name and Date of Initiation
Current Chapter of Membership.
*
Ex. Delta County Alumnae Chapter or N/A
2. ADDRESS
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number
*
(000) (000-0000)
DATE OF INITIATION
*
/
Month
/
Day
Year
Approximate allowed
Verification Letter
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**FOR CHAPTER COMPLETION ONLY**
VERIFIED BY:
DATE
/
Month
/
Day
Year
Date
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