Please provide the following contact information. None of the information is required:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
E-mail
URL

Husbands Name

Name

Children's names and Ages

Names

Occupation and Employer

Skill or Hobby to Share.

Previous Offices Held: (Alumnae or Collegiate)

Please choose your primary form of communication:

Email
USPS Mail

Please share some information to help us make decisions for activity planning. Check all the activities that interest you in service, social, and personal Enrichment.

Race for the Cure (Service)               Collect Lids to Save Lives (Service)      Browns Think Pink (Service)               Helping Collegiate Chapters (Service)   
Advisor for BW (Service)                  Fundraiser (Service)                      Community Service (Service)               Active Participation (Service)          
Donate Items (Service)                    Volunteer Places & Activities (Service)   Crafts, Craft Shows (Social)              Couples Activities (Social)             
Night Life (Social)                       Dinners Out (Social)                      Lunches Out (Social)                      Happy Hours (Social)                    
Movies (Social)                           Theatre (Social)                          Family Picnics (Social)                   Zoo (Social)                            
Luncheon (Social)                         Sports (Social)                           Book clubs (Personal Enrichment)          Cake Decoration (Personal Enrichment)   
Cooking Class (Personal Enrichment)       Financial Planning (Personal Enrichment)  Gardening (Personal Enrichment)           Home Interior (Personal Enrichment)     
Museums (Personal Enrichment)             Pottery & Art (Personal Enrichment)       Scrapbooking (Personal Enrichment)        Travel (Personal Enrichment)            
Wellness/Fitness (Personal Enrichment)    Wine Tasting (Personal Enrichment)        Yoga (Personal Enrichment)                

Please list anything we have not included:

I can host an alumnae meeting at my house.

Yes
No

I can provide refreshments for a meeting.

Yes
No

Please contact my Zeta friend about joining. Her name and phone number are:

I know an incoming freshman collegiate. Her name, address, phone number and college are: