The information on this form will only be used to select an appropriate Charleston Chapter to which your name and interest in the organization will be forwarded. A member of one or more chapters will contact you and arrange for you to visit one of their meetings or activities. There is absolutely no obligation inferred by filling out this form. 

NAME:     

STREET:   

CITY:     

STATE:    

ZIPCODE:  

E-MAIL:   

PHONE:    

Please choose those that best describe you. Check all that apply.

Career Woman
Mother
Grandmother
Working at Home
Working Away From Home
Married
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(Multiple items may be chosen.)

Please indicate your age group:

20 and Under
21-25
26-30
31-35
36-40
41-50
51 and over

Please list your hobbies and interests:

Every attempt will be made to give your submission prompt attention! Thanks for your interest in Beta Sigma Phi!

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Please note:  Best viewed with Netscape. Although it is unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: surfndeb@cchat.com.

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Website sponsored by the Great Charleston City Council of Beta Sigma Phi of Beta Sigma Phi, Charleston, South Carolina
Some Graphics provided by Dianne Waldo and Updated August 16, 1998