MEMBERSHIP FORM

The purpose of this membership survey is to two-fold, to collect information from you concerning your interest in possible alumni activities and to provide you with a convenient way to register to join the Detroit Alumni Chapter. You can be certain that all information collected will only be used to improve our chapter and to help us keep you aware of Chapter events.

Please complete the information in each section, include your contact information, and submit the form. You will then receive a confirmation message, letting you know the information was sent.

Please remind me of monthly dinner meetings via:
Internet message (include email address below)
Postcard / flyer mailing
Telephone message at home
Telephone message at work

I would be able to make events in the following general area(s):
Bloomfield Hills - Birmingham (Woodward axis)
Troy - Madison Heights (I-75 axis)
Southfield - Bloomfield Hills (Lodge/Telegraph)
Southfield - Farmington (Lodge/I-696 axis)
Eastside - Grosse Pointe (Mack Avenue exits)
Dearborn - (Michigan Avenue axis)
Livonia - Northville (I-96/I-275 axis)
Downtown Detroit (Greektown)

I am interested in the following types of events:
Monthly Dinners
Special Banquets (Spring/Ritual/Christmas)
Afterwork Happy Hours
Golf Outings
Philanthropy / Community Service
Sporting Events
Coed Events (specify)
Other:

We should consider doing the following types of philanthropic / community service:
Answer phones on television during the Channel 56-PBS pledge drive
Establish a scholarship for a Detroit area undergraduate brother
Contribute to the Children's Miracle Network - National philanthropic effort

Please enter any additional suggestions/comments about the Detroit Alumni Chapter or our website:

Please complete the following contact information:

Name     	    Spouse 
Street(H) 	   
City      	   
State    	   
Zip Code     
Work Addr. 
Email Addr.
Phone(H)    
Phone(W)   
Job/Title     
Employer    
Chapter/Yr  

Fraternal & Community Activities:
           

Paid Dues  Yes  No

Please check if you are mailing your dues payment.
 $20.00 Annual Dues
Please make checks payable to SIGMA CHI FRATERNITY and mail to P.O. Box 80402, Rochester, Michigan, 48308-0402.

Thank you for taking the time to answer the questions in our membership survey. Please hit the Submit Form button to send your survey!