Membership Application
Alpha Omega invites you to become part of a unique experience, and share all the benefits enjoyed by our members. To join, print this application and return it with your check for *$100 to:
C/O Benjamin Oppenheimer
3901 Main St. Apt. 11A
Amherst, NY 14226
716-833-0172
Yes. I want to join Alpha Omega - Alpha Chapter as a Student Member_______
Full Name:________________________________________________________
School Address: ________________________________
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Local Phone: ________________________________
Permanent Address:________________________________
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Permanent Phone: ________________________________
Signature:________________________________________ Date__________
* This fee includes both international and student chapter dues - $55 of these dues may be reimbursed to first -time members who are from Buffalo, Rochester or Syracuse through a program sponsored by Alpha Omega Alumni Chapters in those areas ask an Executive Board member for program details.
Download Membership Application Here: Right Click and Save As
