DZ Fairfield CT Alumnae Registration Form
This is the membership registration form. You must return to the website after it is complete to make your payment. Membership dues are $40 or $25 if you are a recent graduate (past 5 years) https://paypal.me/DZCTALUMNAE
Email address *
Name
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Maiden Name
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Spouse's Name
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Street Address
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City
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Zip Code
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Home Phone
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Mobile Phone
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Email Address
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College
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Initiated Chapter
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Birthday
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I would be interested in helping with the following events:
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A copy of your responses will be emailed to the address you provided.
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