Florida Eta Chapter of Pi Gamma Mu
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PI GAMMA MU Florida Eta Chapter |
YES! I WANT TO JOIN PI GAMMA MU HONOR SOCIETY
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Name as you want it read on certificate |
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Address (local) |
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City |
____________________________ State______ Zip___________ |
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Address (Home) |
You must complete this section if you live on campus. Certificates do not always come before graduation and most certificates mailed to a campus address are returned as "undeliverable." Please don't add your certificate to my growing pile of returned with no hope of ever finding you because the phone doesn't work and the USF email account is disabled.
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City |
____________________________ State______Zip____________ |
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Net ID (First part of your USF email address) |
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Phone |
(_________)____________-________________ |
Major |
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Class (circle one) |
Junior, Senior, Graduate, Alumni |
Signature |
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Enclose a check or a money order made out to PI GAMMA MU to pay the one time fee of $70 to cover national and chapter dues.
Mail form and payment to
Janet Monroe
Pi Gamma Mu Eta
Chapter
6021 14th St
Zephyrhills, FL 33542-2632