2021-2022 ZTA Memphis Membership Form
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First Name *
Middle Name *
Last Name *
Maiden Name *
Email Address                                                                                                                                                    (Don't forget to add ZTAMemphis@gmail.com to your email contacts/address book) *
Home Phone
Include Area Code
Mobile Phone *
Include Area Code
Birthdate *
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Spouse's Name
Initiated Chapter *
Example: Iota Xi, Christian Brothers University
Year Initiated *
Example: 1995
Street Address *
City *
State *
Zip Code *
Preferred Methods of Contact: (Select all applicable)
Your Occupation
Your Place of Work and Title
T-Shirt Size
Please select any times that are better for you to attend events: (Select all that apply)
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Are you:
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No
I don't know
A member of ZTA Facebook Private Group?
A member of ZTA Facebook Public Page?
Currently receiving ZTA Memphis emails?
Following @ZTAMemphis on Instagram?
Receiving Themis Magazine?
Member of ZTA in Tennessee on Facebook?
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Are you interested in learning more about serving in one of the following areas?
Prior ZTA Alumnae Offices Held or Awards Received:
Special Interests/Hobbies
Do you know Zetas in the local area that are not involved in the local alumnae chapter?  Let us know who they are below and any contact information you may have!
Tell us your:                                                                                                                                                             *Favorite Line of the Creed, or                                                                                                                           *Favorite part of being a ZTA Alumna, or                                                                                                                  *Why you think it is important to remain connected to ZTA                                                                                        Don't forget to tell us why!
How can we better serve you?  Please share any ideas you have to strengthen our sisterhood, programming ideas, etc!  Tell us what you are looking for in your alumnae chapter experience!
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