GAMMA ALPHA OMEGA SORORITY, INC

National Alumnae Association
Membership Enrollment Form
 

This application will be used to confirm membership eligibility in the National Alumnae Association.

Please fill out the application in its entirety. Return the completed application to alumnae_affairs@gammaalphaomega.com. Once received, you will be contacted to make payment arrangements.

* Denotes Required Fields
               
ALUMNA CONTACT INFORMATION
               
Miss Ms. Mrs.
*Last Name: *First Name: Middle:
               
Maiden Name:
*Email Address:
      
               
*Street Address:
*Preferred Phone Number
    
               
             
               
*City:
*State:
*Zip Code:
    
               
GAO MEMBERSHIP INFORMATION
               
*Chapter:
*University:
      
               
*Graduation Date
*Degree Earned:
      
 
*College/University
        
               
               
*Do you have a financial debt owed at the National level? Yes No        
If Yes, please explain why and list amount.    
               
*Do you have a financial debt owed at the Chapter level? Yes No        
If Yes, please explain why and list amount.    
               
EDUCATION & CAREER INFORMATION
               
Highest educational level completed?
 
*Degree Earned:
  
 
*Degree In-Progress :
 YesNo
*Graduation Date:
 
*College/University:
  
     
     
*Employer Name:
*Job Title:
*Major Duties:
*Length of Employment:
Work Address
City
State
Zip Code
Work Phone Number:
               
Are you interested in sharing your expertise with the organization in areas such as mentorship, presentation leader, keynote speaker, etc.? Yes
No		      
               
Specific interest(s) / Area(s) of Expertise:      
               
ALUMNAE MEMBERSHIP PACKAGES
National Alumnae Membership begins at the beginning of the next month
following the date membership dues are received.
               
*Application Submission Date:
(Month/Year)
        
               
*Membership Package:
Check One
 Sapphire Annual Membership--$100
Emerald Three-Year membership--$250
Diamond Lifetime Membership--$1,000
LIMITED OFFER-->
 Diamond Lifetime Membership--$800 - details
               
*Will you be making payments in installments? Yes No        
If yes, please fill out the below Commitment to Pay Form below.
Please note, payment installments are not available for the Sapphire Annual membership.
    
               
If you are interested in donating funds to the National Alumnae Association, please indicate amount here.  Please remember to include this contribution in your membership payment.      
               
*Total Amount Due:          
               
COMMITMENT TO PAY FORM
This is an agreement between Applicant and Gamma Alpha Omega Sorority, Inc.  Applicant acknowledges that this is a binding contract guaranteeing delivery of National Alumnae Association services in exchange for payment(s) by Applicant.  Applicant will make scheduled payments as indicated below.  Signature of Applicant indicates consent and commitment to pay organization for said services on date agreed.
               
Check Payment
Installment
Plan Below:		 Installment Schedule: Installment Amount Due
     
Emerald Three-Year Membership
(Total Cost:  $250)		 Two (2) payments due total.  First payment due at initial sign-up.  Second payment due six calendar months following initial payment.  Total cost of package paid within one year
$125

Diamond Lifetime Membership
(Total Cost:  $800 Convention Special)

The Vice President of Finance will contact you to arrange an individualized payment plan that best suits your budget. Please note that the membership package must be paid in full no later than January 1, 2010.
 
               
*Applicant’s Printed Name:
  Payment Agreement
* I acknowledge that my printed name in the above field shall constitute as my electronic signature, and will be considered binding to this contract.
*Date Submitted: