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Alumnae/Graduate Member Form

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

Questions about this form and/or the Alumnae Database should be directed to the Alumnae & Graduate 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.

(Select amount paid)

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, Alumnae & Graduate 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 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—AGEB. Address to Lambda Theta Alpha—AGEB. Please review the dues options section for guidelines prior to submitting a payment.