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Gambet
State Alumni Application Form
* = Required
Mrs. Margaret McCauley
National Executive Director
78A Mitchell Road
Oak Ridge, Tennessee 37830
We the undersigned hereby petition the National Executive Director of Gamma Beta Phi for recognition of the Alumni Association of the Gamma Beta Phi Society in
*
1. State
as established by the interim structure set forth by the National Executive Director. The purpose of the Alumni Association of the Gamma Beta Phi Society in
*
2. State
shall be to foster, disseminate, and support education and service activities at the state and national levels. The funding of this organization shall be accomplished through non-tax donations.
It is further recommended that
*
3. Name
*
4. Address
*
5. City, State & Zip
be appointed as State Coordinator for Alumni Affairs.
*
6. Name
7. Name
8. Name
9. Name
10. Name
11. Name
12. Name
13. Name
14. Name
15. Name
©2005 - The Gamma Beta Phi Society
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