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Alumnae/Graduate Member Form

Questions about Alumnae/Graduate Membership should be directed to the National Alumnae President at alum_president@lambdalady.org.

Questions about this form and/or the Alumnae Database should be directed to the National Alumnae Secretary at alum_secretary@lambdalady.org.

Please review the spreadsheet (revised 11/23/05) by clicking here. Note: the spreadsheet is password-protected for your privacy. Please email alum_secretary@lambdalady.org for the password. If you need to update your record or be added, please fill-out the form below with new data only.

Status Information

Are you already in the Alumnae Database?  Yes  No  Not sure
I would like to: (check all that apply)

Become or remain active
Submit or update my personal information
Request information for establishment of an alumnae chapter
Current Status:
(as of today)
Graduation Date:
(fill in if you're a recent grad)
Anticipated Graduation Date:
(fill in if you're a graduating senior)
Chapter:
Semester Pledged:
Year Pledged:
Line Name:
I currently serve on:
(as of today)

Personal Information/Updates
First Name:
Last Name:
Married Name:
Address:
City:
State:
Zip Code:

County:
Phone: (optional)
Email:
Check here if you do not want to receive postal mailings from the National Board of Directors, National Alumnae Executive Board, or Alumnae Association (ex. general mailings, invitations to events, newsletters, etc.)?
Undergraduate Institution:
Undergraduate Major:
Undergraduate Degree:
Undergraduate Degree Date:
Graduate Institution:
Graduate Major:
Graduate Degree:
Graduate Degree Date:
Profession/Occupation:
Employer:
DOB Month:
DOB Date:
DOB Year:
Ethnicity: (optional)

Please check appropriate boxes
*I have paid dues via for half a year. (Select amount paid) $80 for members
$40 for chapter executive board members or recent graduate
*I have paid dues via for a full year. (Select amount paid) $160 for members
$80 for chapter executive board members or recent graduate
*I have paid lifetime membership via . $500 per member. A notarized agreement and membership card will be sent to you.
I am interested in becoming/remaining active through chapter.
Add me to LTA Members Listserve (Daily Digest)
Add me to LTA AlumGrad Listserve (Daily Digest)
I am interested in making a contribution to the Pave the Way Foundation.
(Additional information will be sent to you)
*If submitting dues by mail: Send money order or check made payable to Lambda Theta Alpha—NAEB. Address to Lambda Theta Alpha—NAEB, 15400 Sonoma Drive, Apt # 205, Fort Myers, FL 33908. Please review the dues options section for guidelines prior to submitting a payment.