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DKG Prospect Card
Complete this form to nominate a prospective member for Nu Chapter
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Email
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Your email
Prospective Member's Name
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Your answer
Prospective Member's Address (Street, City, State, Zip Code)
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Your answer
Prospective Member's Email (Personal emails are preferred)
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Your answer
Prospective Member's Employer
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Your answer
Prospective Member's Position
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Your answer
Prospective Member's Phone (include area code)
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Your answer
Nu Chapter Sponsor's Name
*
Your answer
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