Phi Psi Ladies
Please print Datasheet and fax or mail.
You may also type in the information and send by E-mail.
| Please fill out and return to: | Janie Keller | FAX: (225) 928-5899 |
| P O BOX 14358 | Phone: (225) 767-6629 | |
| Baton Rouge, LA 70898 | E-Mail: Dkeller655@aol.com |
Address __________________________________________________________________
City ____________________________________ State _______ ZIP ________________
Husband ________________________________________________________
Chapter _______________________________ Year Initiated ____________
Home Phone (___________)_______________________________________Work Phone (___________)_______________________________________
FAX Phone (___________)________________________________________
E-Mail _________________________________________________________
Home Page http://____________________________________________________________
Birthday ________________________________Comments: __________________________________________________________________
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