Member Verification Form

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Member Verification Form

Visiting Sorors please complete this form 7 days prior to attending Atlantic City Alumnae's Chapter Meeting:

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* Indicates required question

Email *

Your email

Name *

Your answer

Address (Full address: Street, City; State) *

Your answer

Phone Number *

Your answer

Full name at the time of Initiation *

Your answer

Date of Initiation *

MM

/

DD

/

YYYY

Membership Number *

Your answer

Last Chapter where you paid Grand Chapter Dues *

Your answer

Full time name when you last paid Grand Chapter Dues *

Your answer

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