PLEASE REMIT THE APPLICATION TSUNAA Dallas Chapter …

1 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.

2 Spouses of alumni and friends of the university are eligible for membership. PAYMENT CHECK ENCLOSED (MADE PAYABLE TO TSUNAA Dallas Chapter ) PLEASE send your check and/or completed membership APPLICATION to the address listed above. TSUNAA SITE To process your membership dues online, go to , click on TSUNAA Chapters, scroll down to the bottom and click on Dallas Chapter . Your membership card will be sent to your Chapter . All membership dues are tax deductible PLEASE CHECK BOXES OF ANY COMMITTEES THAT INTEREST YOU Membership College Fair/Recruitment Scholarship Fundraising Scholarship Luncheon King & Queen Pageant Homecoming Voters Registration Special Events Committee PLEASE send your check and completed membership APPLICATION to the address listed above.

3 To process your membership dues online go to and click on the TSUNAA Chapter link in which you plan to join. Your membership card will be sent directly to your Chapter . All membership dues are tax deductible. Congratulations on your new membership to the TSUNAA Dallas Chapter TSUNAA Dallas Chapter