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*DENOTES A REQUIRED FIELD
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Alpha Number:*
FORGET YOUR ALPHA NUMBER? |
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| Prefix: |
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| First Name:* |
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| Middle Name or Initial: |
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| Last Name:* |
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| Suffix (Jr, III, IV, etc.): |
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| Big Brother: |
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Little Brother(s):
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| E-mail Address 1:* |
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| E-mail Address 2: |
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Yes, please make my e-mail addresses viewable in the Brother Database. The Brother Database is for Brothers only.
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ALL E-MAIL NEWSLETTERS AND MAILINGS WILL BE SENT TO E-MAIL ADDRESS 1.
E-MAIL ADDRESS 2 IS A BACKUP ADDRESS.
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Check here if you have a profile on LinkedIn and wish a link to appear in your online brother profile.
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Enter link here:
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Check here if you have a profile on MySpace and wish a link to appear in your online brother profile.
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Enter link here:
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Check here if you have a profile on Facebook and wish a link to appear in your online brother profile.
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Enter link here:
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| Home Phone Number:* |
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| Cell Phone Number: |
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Yes, please make my phone numbers viewable in the Brother Database. The Brother Database is for Brothers only.
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| AOL Instant Messenger ID: |
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| Yahoo! Instant Messenger ID: |
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Yes, please make my instant messengers viewable in the Brother Database. The Brother Database is for Brothers only.
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| Home Address Line 1:* |
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| Home Address Line 2: |
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| City or Town:* |
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| State:* |
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| Region: |
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| Country: |
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| Postal Code:* |
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| Spouses Name: |
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Yes, I would like to have the Alphabet Newsletter mailed to my home address.
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Yes, please make my home address viewable in the Brother Database. The Brother Database is for Brothers only.
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| Employer: |
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| Employer URL: |
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| Job Title: |
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| Business Address Line 1: |
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| Business Address Line 2: |
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| City or Town: |
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| State: |
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| Region: |
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| Country: |
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| Postal Code: |
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| Business Phone: |
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Yes, I would like to have the Alphabet Newsletter mailed to my business address.
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Yes, please make my employment information viewable in the Brother Database.
The Brother Database is for Brothers only.
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Degree Type:
(BS, MS, PhD, etc.) |
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| Major: |
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| University: |
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| Degree Year: |
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Second Degree:
(BS, MS, PhD, etc.) |
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| Second Degree Major: |
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| Second Degree University: |
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| Second Degree Year: |
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Third Degree:
(BS, MS, PhD, etc.) |
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| Third Degree Major: |
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| Third Major University: |
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| Third Degree Year: |
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News About Yourself/Comments
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Have news about yourself or comments you would like to share with the Brotherhood?
Use the space below:
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RPI Exchange of Membership Information
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Theta Xi Fraternity
In order to maintain consistent records with the national Theta Xi organization, the Alumni Association will be exchanging membership data on a periodic basis. This should be considered a normal practice to keep contact information such as your mailing address current in receiving correspondence such as the Unicorn and other fraternity-related materials.
RPI Office for Alumni Relations
In due courtesy to RPI for the sharing of contact information with Alpha Chapter, the Alumni Association will reciprocate by forwarding periodic updates of its contact database records to the RPI Office for Alumni Relations. If you do not wish to have RPI receive updates of your contact information, please uncheck the following appropriate boxes. If at any time, you wish to change this, you may do so by logging in to the Alumni Association website and editing your membership record. Information exchange with RPI is scheduled to begin in Fall 2007.
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Yes, I wish to have my e-mail addresses shared with RPI on a periodic basis.
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Yes, I wish to have my home phone number shared with RPI on a periodic basis.
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Yes, I wish to have my home address shared with RPI on a periodic basis.
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Yes, I wish to have my employment information shared with RPI on a periodic basis.
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Please enter the value you see below:*
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