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PLEASE REMIT THE APPLICATION TSUNAA Dallas Chapter …

PLEASE REMIT THE APPLICATION AND PAYMENT TO: TSUNAA Dallas Chapter PO Box 152987 Dallas , TX 75215 CONTACT US AT: MEMBERSHIP APPLICATION DATE_____/_____/_____ MEMBER INFORMATION _____ DR/MR/MRS/MS/MISS FIRST NAME/ MIDDLE INITIAL/ LAST NAME ( PLEASE PRINT) MAIDEN NAME _____ STREET ADDRESS CITY STATE ZIP PREFERRED PHONE NUMBER _____ EMAIL ADDRESS YEAR OF GRADUATION MAJOR _____ DATE OF BIRTH OCCUPATION SPOUSE S NAME (if applicable) MEMBERSHIP OPTIONS PLEASE indicate your intended membership Chapter Member $ ($ National Dues/$ Chapter Dues) Associate Member (non-alumnus) $ ($ National Dues/$ Chapter Dues) Recent Graduate (Graduated within this year) FREE TSUNAA membership is open to individuals who graduated from or former students of Texas Southern University.

PLEASE REMIT THE APPLICATION AND PAYMENT TO: TSUNAA Dallas Chapter PO Box 152987 Dallas, TX 75215 CONTACT US AT: www.texassoutherndallas.com emariecurtis@yahoo.com

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