GETTING TO KNOW YOU – ALUMNAE CLUB MEMBERSHIP FORM

Please fill out this form and return it with your membership dues to:

Liz Bastuk

4496 Stilson Circle (All checks should be made payable to:

Norcross, GA 30092 Alpharetta Alumnae Club of Pi Beta Phi)

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First Name Maiden/Middle Name Last Name Husband’s name

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Street Address City State Zip Code Home Phone/Other Phone

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Initiation Year Chapter and College Career Email Address

Dues Enclosed (please check one)

___ $30 New Graduate Dues (This option is only for 2008 graduates.)

___ $50 Alpharetta Club Dues (includes International Dues)

___ $75 Cherub Dues (Club Dues plus $25 donation to club)

___ $100 Angel Dues (Club Dues plus $50 donation to club)

___ $150 Wine and Blue Dues (Club Dues plus $100 donation to club)

(Please be aware that all dues and donations are NOT tax-deductible.)

___ I have enclosed an additional $25 and my business card; a copy of my card will be published in the

advertising section of the Alpharetta Alumnae Club Directory / Yearbook. I know that Pi Phi’s love to do

business with other Pi Phi’s, and the fee will support the club!

___ I have enclosed an additional $2.00. Please mail the directory to me. (It will be available for no charge at

the membership meetings.)