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Home
About
Chapter Info
Tampa (FL) Alumni
Officers
Pay Dues
Silhouettes
Support
Guide Right
LinKs
Upcoming Events
Latest News
Fraternity History
National History
Founders
Prospective Members
Pay Dues
Foundation
Brothers Only
Brothers Only
TAC Membership Form
First Name
*
MI
*
Last Name
*
Birth Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Birth Day
*
Birth Year: Ex. - 1911
*
Cell Phone Number
Email
*
Home Address
*
City
*
State: ex. FL
*
Zip Code
*
Chapter of Initiation: ex. "Alpha Chapter" , "TAC"
*
Date of Initiation: Ex. - 05251990
*
Membership Number
*
Line/Nickname
Line Number: ex. "3"
Life Member
*
Yes
No
Life Member Number
Additional Info *if necessary*
Military
*
Yes
No
Retired
*
Yes
No
Correspondence Preference - Check all that apply
*
Email
Telephone
Mailing Address
Committee(s) you are interested in supporting
*
Spouse Name:
Children Name(s):
Submit
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