Membership Form

Please complete this membership form after paying your dues.

I am a

New Member

Returning Member

First Name

Maiden Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Initiated Chapter / Year

College / University

Birthday (year optional)

Occupation

Phone

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Email Address

Hobbies / Interests / Favorite GTG Event

I'm interested in:

Hosting a GTG event in my home, please contact me

Becoming more involved in GTG by serving as an officer, please contact me

Serving as a collegiate advisor, please have the UCLA, USC or LMU Chapter Advisor contact me

Serving on a House Corporation Board, please have the UCLA or USC HCB President contact me