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Request for Chapter Meeting Contact

Fill out this request form to receive the name and phone number of Chapter Meeting Contacts in your area.

First Name:
Last Name:
Telephone Number:
Fax Number:
(if you would like the information faxed)
E-mail:
(required)
City:
State:


Please provide the following information so we may verify your alumni status:

Date of Birth:
Last four digits of SSN:


Chapter Meeting you need a contact for:

[USA]

Scottsdale, AZ Cincinnati, IN
Tucson, AZ Connersville, IN
Yuma, AZ Evansville, IN
Claremont, CA Fort Wayne, IN
Long Beach , CA Indianapolis, IN
Los Angeles , CA Madison, IN
Marin, CA St. Louis, MO
Monterey, CA Big Fork, MT
Napa, CA Las Vegas, NV
Newport Beach, CA New Jersey
Oakland, CA Albuquerque, NM
Rancho Mirage, CA Santa Fe, NM
Riverside, CA (Women's Step Study Group) Long Island, NY
Sacramento, CA New York City, NY
San Bernardino, CA Westchester Country, NY
San Diego, CA Lake Oswego , OR
San Fernando Valley, CA Tulsa, OK
San Francisco, CA Philadelphia, PA
Temecula, CA North Carolina, R.T.P.
West Los Angeles, CA Austin, TX
Westwood, CA Dallas, TX
Denver, CO Dallas-Fort Worth, TX
Ormond Beach, FL Fort Worth, TX
Orland, FL Richmond, VA
  Washington, D.C.

[CANADA]
Calgary, AB Victoria, B.C.
Vancouver, B.C. (Family Graduates) Toronto, ON
Vancouver, B.C.    


How would you like to be contacted (please choose one)?

Phone:
Fax:
E-mail:


The information collected in this form is encrypted and sent to us through a secure server. We have taken all reasonable measures to protect the confidentiality of your information. However, no one can give absolute assurance that your information will remain secure, and normal risks exist that third parties may intrude on the server and view your information. By pressing the SUBMIT button you agree that you are aware of those risks and choose to send this information. If you do not wish to submit your information electronically, you may print this form and mail it to:

Attn: Alumni Services
P.O. Box 1560
Rancho Mirage, CA 92270
or fax it to: (760) 773-1849

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