Dallas Alumnae Association of Kappa Kappa Gamma


NEW MEMBER VERIFICATION FORM
You must be an initiated member of Kappa Kappa Gamma to join the Dallas Alumnae Association of Kappa Kappa Gamma. BEFORE completing this form, please attempt to log in as you may already be in our database! If we have your current email address, you may easily retrieve your login credentials. Go to our Member Home page and select MEMBER LOGIN. Enter your email address and a link will be emailed. (If you think you're in our database and your email has changed or we don't have your current email address, contact Membership via Contacts. We'll update your email address and send you a reset password link.) This form should ONLY be completed by Kappas who are NEW to the area or are RECENT GRADUATES and are not yet in our database. When completed and submitted, the form will be sent to HQ to verify your Kappa Member Number, and will be returned us. We will then notify you that you may log in. PLEASE DO NOT ENTER YOUR INFORMATION IN ALL CAPS!!!
Kappa Member Number
(if known)
Legal First (INITIATED) Name *
First (PREFERRED) Name *
Middle Name *
Maiden (INITIATED) Last Name *
Last Name *
Birth Date *	// (mm/dd/yyyy)
Initiated Chapter
Initiated College/University *
Email *
(If you do not have an email address, enter noemail@noemail.com and contact membership via contact for assistance.)
Address 1 *
City *
State *
Zip *
Phone *
Phone Type *
Phone2
Phone Type 2
Phone3
Phone Type 3
Please check the box
Yes, I want to receive EMAIL from kappadallas.org (Unchecked submits NO)
Yes, I want to receive PHONE contact kappadallas.org (Unchecked submits NO)
Yes, I want to receive MAIL from kappadallas.org (Unchecked submits NO)
Yes, I want to receive TEXT MESSAGES from kappadallas.org (Unchecked submits NO)

Neon CRM by Neon One

Timeout Warning

NEW MEMBER VERIFICATION FORM