IB 314
7/08
DELTA OMICRON
INTERNATIONAL MUSIC FRATERNITY
Life Membership Application
Life Membership entitles a member to receive The
WHEEL and other Fraternity publications for life. It also exempts a member from payment of all
future national annual dues and makes one a member in good standing for life, a
requirement for eligibility for fraternity and foundation scholarships and
grants. Payment for Life Membership may
be made through the chapter or alumni club with which a member is affiliated,
or it may be made directly to the Executive Office.
The Life Membership fee may be paid in either of two
ways:
Attach
this form to the Chapter Payment Form IB 364.
Make all checks or money orders payable to DELTA OMICRON
FRATERNITY. Send to the Executive
Secretary.
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Julie
H. Wright, Executive Secretary
Delta
Omicron Fraternity
I
was initiated on ____________________ into _____________________________
Chapter at
(approximate date) (collegiate chapter)
at
___________________________________________________________________________________
(name of school )
(city, state)
I
am currently affiliated with ______________________________________________________________
(name
of chapter or club: if applicable)
Enclosed
please find: _____________________
Installment Plan $30.00
_____________________ Single Payment $300.00
Name
_________________________________________________ National Number_______________
Address
_____________________________________________________________________________
_____________________________________________________________________________
Phone
Number ( ) _____________________ e-mail address:
_____________________________