2019-2020 Mu Mu Membership Form
Dues for the 2019-2020 membership year are due before January 31, 2020
Membership Information
Member Information *
First Name *
Your answer
Middle Name
Your answer
Maiden Name
Your answer
Last Name *
Your answer
Address (Street, City, State, Zip) *
Your answer
Phone *
Your answer
Email *
Your answer
Spouse
Your answer
Children's Name(s) / Age(s)
Your answer
Occupation
Your answer
Birthday *
MM
/
DD
/
YYYY
Chapter of Initiation *
Your answer
School *
Your answer
Initiation Year *
Your answer
Levels of Membership
Membership benefits include receiving the newsletter, a membership directory, access to networking opportunities and invitations
to special programming events. Mu Mu annual dues cover national per capita dues, operating expenses, convention/province fees
and provide support for the Kansas and Missouri Collegiate Chapters, the National Fraternity and various Alpha Chi Omega causes.
Membership Level (Choose One) *
Required
Payment *
Required
Directory *
Volunteer Opportunities
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