Austin Alumnae Association - Online Dues Statement

Austin Area Alumnae Association Dues Statement 2012 - 2013

Pay by PayPal, BEFORE filling out and clicking on the Submit Form button (clicking on the PayPal button will take you off this page).
Once payment has been submitted fill out and click on Submit Form.
If you wish to pay by check, send payment to Austin KKG Treasurer, 7905 Goldenrod Cv, Austin, TX 78750.

Please submit your form and payment by August 1, 2012.

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Dues must be paid to serve as an adviser, officer, house board or committee member.
I am a:	Returning Austin Alumnae Association Member New Austin Alumnae Association Member 2012 Graduate
I currently serve as (please check as many as apply)::	Alumnae Board Member House Board Member Other Chapter Help - Adviser, Recruitment, Initiation, etc.
Our primary communication method will be EMAIL, using the email address you provide. If you prefer to have communication MAILED to you, please check the appropriate box below.
I prefer to receive newsletters, invitations, notices, directory via*:	Email Regular Mail
I would like to receive mobile text messages from this site (sign up on the Mobile Text page):	Yes No
If you would like to receive text messages, please provide name of cell phone provider:	Alltel AT&T Boost Centennial Wireless Cricket Globalstar IVCellular Nextel Sprint T-Mobile Unicel US Cellular Verizon Virgin Mobile Other
Member Information (*required field)
First and Last Name*:
Preferred First Name*:
Maiden Name (if different from last name)*:
Husband's Name:
Address*:
City, State Zip*:
Primary Phone:
Work Phone:
Cell Phone:
E-mail (we will never use your email for anything other than Kappa business!):
Chapter / College*:
Initiation Year:
Birthday (month/day/year):
I would be interested in serving on or helping with
(Check all that apply):	Alumnae Board House Board Founders Day Kappa Kaladiums Kappa Derby Day - May 4, 2013 Mailings Membership Night Owls Job Networking for Alumnae & Actives Advising or assisting the Beta Xi Chapter Technology
I would like to assist the Alumnae group with my skills and expertise (i.e., legal, accounting, website, PR / marketing, graphic arts, fundraising, computer). PLEASE BE SPECIFIC:
I would like to help with
(Check all that apply):	Kick-off Event December Christmas Tea February Couples Party Legacy Recruitment Workshop Senior Send Off Offer my home for an event Assist in planning an event Provide refreshments for an event
Share your ideas for programs:
I would be interested in being a member of or organizing an Interest Group
(Check all that apply):	Antiques Interest Group Book Club Needlepoint Group Mom/Tot Group Playing Bridge with other Kappas Playing Golf with other Kappas
Other (please specify):
I would like to receive e-mail from the Night Owls Group:
My Nomination for Outstanding Alumna 2012. (Nominee must be an active member of the Austin Alumnae Association and have not previously received the award. For a list of past recipients, go to Austin Directory 2011-2012>History.)
Nominee's Name:
Reason for nomination:
The Outstanding Alumna Award is voted on at the fall AA board meeting and awarded at the Founders Day Banquet.
Nomination for an area non-profit agency to benefit from proceeds of Derby Day 2013. (Winner will be decided at the fall AA Board Meeting.)
Name of agency:
Reason for nomination:
Payment Method
I'm paying my dues by*:	Electronic check Check in the mail PayPal
To make a payment by PayPal, select a Membership Option below, click Buy Now, then SUBMIT FORM (clicking on the PayPal button will take you to the PayPal site).