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Greater Kansas City Alpha Delta Pi

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Interested in Membership?  Please fill out the information below.

First Name:
Maiden Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
ADPi Chapter:
Initiation Year:
E-mail Address:

Dues Information

Please contact me
I am a recent grad / alumna (one year or less): FREE!
Reduced-fee grad / alumna (5 years or less): $10.00
Standard Dues: $ 20.00
Violet Level: $25.00
Lion Level: $30.00
Diamond Level: $35.00 or more

 

Additional Information:

 Please send Dues payment to:

Amy Stultz Tysseling

5013 W. 65th Street
Prarie Village, KS 66208

 

 

 

Send email to info@gkcadpi.org with questions or comments about this web site.
Last modified: September 09, 2009