ࡱ> 463{ cbjbjzz 4&nn<<<PPPP,|$Pceeeeee$Z<{@///"R<c/c//"/3fUR/O0///</ //n : SIGMA PHI OMEGA APPLICATION FOR MEMBERSHIP See our website for important membership information: HYPERLINK "http://www.sigmaphiomega.org/"http://www.sigmaphiomega.org/ Membership is on an annual basis depending on when you originally join Fall initiate membership is Oct. 1 Sept. 30, with renewal notices sent in October Spring initiate membership is Apr. 1 Mar. 31, with renewal notices sent in April Name, as you want it to appear on certificate: Please type or print clearly. ________________________________________________________________________ University: ___ý______ Chapter: _Gamma Upsilon__ Permanent Mailing Address: _______________________________________________ Telephone: _____________________________ Cell: ____________________________ Email (university or business): _____________________________________________ Email (personal): _________________________________________________________ Important: SPO uses e-mail as its primary form of communication, so please include an address that will stay current. If your e-mail does change, please notify us with an update at SPOmembership@yahoo.com Major: _____________________ Minor: ____________________ GPA(s):____________ University/Degrees and Dates Awarded: ______________________________________ Employer: ______________________________ Job Title: ________________________ (Professional Membership Only) Chapter Advisors Name: ________________________________________ Signature of Advisor: ___________________________________________ Your Signature: ________________________________________________  For Office Use Only Member #:____________ Entered: _____________ Check #: _____________ Annual Membership Fees: Student Membership* $25.00 $_______ Honor Cord (optional) $15.00 $_______ Honor Medallion (optional) $15.00 $_______ Professional Membership* $40.00 $_______ Additional Contribution (optional) $_______ Total Enclosed $_______ *Includes membership pin and certificate. Please allow 4-6 weeks for processing. Make check or money order payable to: Sigma Phi Omega Mail application form and check or money order to: ý Gerontology Department Wheatley Building Attention: Andrea Lindemer 100 Morrissey Blvd. Boston, MA 02125-3393 Membership dues are tax-deductible! Questions? Contact us at SPOmembership@yahoo.com or HYPERLINK "mailto:SPOPresident@sigmaphiomega.org"SPOPresident@sigmaphiomega.org Please note that checks returned to SPO for insufficient funds are subject to additional charges. *+ab ѿqYD,/hm56B*CJOJQJ\]^JaJph)hm5B*CJOJQJ\^JaJph/hm56B*CJOJQJ\]^JaJph8hhm56>**䴳ϴ]^#m*䴳ϴ$<hm0JCJOJQJ^JaJhmjhmU#hmB*CJOJQJ^JaJph)hm5B*CJOJQJ\^JaJph2hi".hm5>*B*CJOJQJ\^JaJph +G 7 n 0 ! n $dx7$8$H$`a$gdm$dx7$8$H$a$gdmdx7$8$H$^gdm$d7$8$H$a$gdm 1 6 7 F h y o 罥y\D/)hm6B*CJOJQJ]^JaJph/hm56B*CJOJQJ\]^JaJph8hhm56>*B*CJOJQJ\]^JaJph,hi".hmB*CJOJQJ\^JaJph)hm>*B*CJOJQJ\^JaJph/hi".hm>*B*CJOJQJ\^JaJph)hm5B*CJOJQJ\^JaJph)hmB*CJOJQJ\]^JaJph/hi".hmB*CJOJQJ\]^JaJpho n o QRSTU~Һ~aP<'#hm)hm5B*CJOJQJ\^JaJph'hhm5B*OJQJ\^Jph!hm5B*OJQJ\^Jph9jhm5B*OJQJU\^JmHnHphtHuMjhhm56B*CJOJQJU\]^JaJmHnHphtHu)hm6B*CJOJQJ]^JaJph/hm56B*CJOJQJ\]^JaJph)hm5B*CJOJQJ\^JaJph/hm56B*CJOJQJ\]^JaJph QTUVWXYZ[\]^_`abcdefgd7$8$H$gdmdx7$8$H$gdm$dx7$8$H$a$gdmghij~  <=jk,S dgdm $da$gdm$a$gdm$d7$8$H$a$gdm)+23XZSTzPuÿk]OhmB*OJQJ^JphhmB*OJQJ^Jph/hm56B*CJOJQJ\]^JaJph)hm5B*CJOJQJ\^JaJph+hChm5B*OJQJ\^JaJph!hm5B*OJQJ\^Jphhmh hmCJOJQJaJhm5CJOJQJaJhhm5CJOJQJaJh hm5CJOJQJaJSTz %9OPtu_`abc$a$gdmd7$8$H$gdm$d7$8$H$a$gdm_abcȳh)hm5B*CJOJQJ\^JaJphhmB*OJQJ^Jphh<hm0JOJQJ^JhmjhmUhmB*OJQJ^Jph 21h:pm/ =!"#$% j 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666666866666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p(8HX`~ OJPJQJ_HmH nH sH tH J`J UNormal dCJ_HaJmH sH tH DA`D Default Paragraph FontRiR Table Normal4 l4a (k ( No List R@R i".0 Balloon Text dCJOJQJ^JaJNN i".0Balloon Text CharCJOJQJ^JaJ6U@6 i".0 Hyperlink >*B*phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! 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