Alpha Kappa Alpha Sorority, Incorporated 2009 ROSTER OF OFFICERS by rku10038

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									                                Alpha Kappa Alpha Sorority, Incorporated
                        2009 ROSTER OF OFFICERS FOR GRADUATE CHAPTER

                                                        TAMIOUCHOS                           Financial Card #
        Make chapter address changes in this box        __________________________________________________
         (All Chapter mailings will be sent here)       Home Address
                                                        __________________________________________________
        Check if chapter address has changed            City                  State         Zip code

                                                        Telephone (   ) __________________ ( )______________
 Chapter:                                                                     Home                 Work
                                                        E-Mail Address_____________________________________
 Address:
                                                        Signature __________________________________________

 City                      State       Zip Code         __________________________________________________
                                                        EPISTOLEUS
 Chapter Website _________________________________
                                                        Signature __________________________________________

                                                        __________________________________________________
                                                        IVY LEAF REPORTER
_________________________________ _____________
BASILEUS                             Financial Card #   Signature __________________________________________
__________________________________________________
Home Address                                            __________________________________________________
__________________________________________________      PROGRAM CHAIR                       Financial Card #
City                  State         Zip code

Telephone (   ) _______________ (  )________________    Home Address
                     Home               Work            __________________________________________________
E-Mail Address _____________________________________    City                  State         Zip code
Signature __________________________________________    Telephone (   ) _______________ (  )________________
                                                                             Home               Work
___________________________________ _____________
                                                        E-Mail Address ____________________________________
ANTI-BASILEUS                        Financial Card #
__________________________________________________
                                                        Signature __________________________________________
Home Address
__________________________________________________
City                  State         Zip code
                                                        _________________________________________________
Telephone (   ) ______________ (  )_________________    STANDARDS CHAIR                Financial Card #
                     Home               Work
E-Mail Address_____________________________________     Home Address

Signature __________________________________________    City                  State           Zip code

___________________________________ _____________       Telephone (   ) ________________ (  )_______________
GRAMMATEUS                           Financial Card #                          Home              Work
__________________________________________________      E-Mail Address_____________________________________
Home Address
__________________________________________________      Signature __________________________________________
City                  State         Zip code

Telephone (   ) ________________ (  )_______________    Graduate Advisor(s) information must be
                       Home              Work           completed on reverse side of this form.
Signature __________________________________________
                                                        This form is due December 14th.        (over)
                                  GRADUATE ADVISOR(S)—PAGE TWO (2)
                                           (REVERSE SIDE)

If there is more than one Graduate Advisor for an undergraduate chapter, please place an asterisk by the
Graduate Advisor who should receive all the correspondence.

Graduate Chapter Name:




GRADUATE ADVISOR                    Financial Card #       GRADUATE ADVISOR                    Financial Card #
______________________________________________             ______________________________________________
Address                                                    Address
______________________________________________             ______________________________________________
City          State          Zip code                      City          State          Zip code
Telephone (   ) ________________ ( )____________           Telephone (   ) ________________ ( )____________
                    Home               Work                                    Home               Work
Chapter Advisor to: _____________________________          Chapter Advisor to: _____________________________
                       Name of Undergraduate Chapter                              Name of Undergraduate Chapter
Signature _____________________________________            Signature _____________________________________

E-Mail Address ________________________________            E-Mail Address ________________________________

                                                           ___________________________        _______________
                                                           GRADUATE ADVISOR                    Financial Card #
___________________________        _______________
GRADUATE ADVISOR                    Financial Card #       ______________________________________________
                                                           Address
______________________________________________
Address                                                    ______________________________________________
                                                           City          State          Zip code
______________________________________________
City          State          Zip code                      Telephone (   ) ________________ ( )____________
                                                                               Home               Work
Telephone (   ) ________________ ( )____________
                    Home               Work                Chapter Advisor to: _____________________________
                                                                                  Name of Undergraduate Chapter
Chapter Advisor to: _____________________________
                       Name of Undergraduate Chapter       Signature _____________________________________
Signature _____________________________________
                                                           E-Mail Address ________________________________
E-Mail Address ________________________________


                                           For Office Use Only
                                   Date Received:

                                   Date Updated:

                                   Initials:__________________________

								
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