Sigma Alpha Epsilon, Arkansas Alpha-Upsilon Chapter

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Alumni Association Form

Name:

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Nickname:

Address:

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City, State, Zip:

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Telephone Number:

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Cell Phone:

Email Address:

Chapter Initiated At:

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Year Pledged SAE:

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Dues Plan:

1-Year $ 5.00

10-Year $30.00

20-Year $60.00

Lifetime $100.00

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