Alumni Contact Information

This form is for any Delta Chi Alumni that would like to be on our mailing and contact list. Alumni from the Reno Chapter and Alumni that currently live in the Reno area are especially desired.

Thank you for the time to become an active alumni of the Reno Chapter.

First Name:

Last Name:

Spouses Name:

Address:

City:

State:

Zip:

Phone Number:

Email Address:

What chapter were you a member of:

Would you like us to send you Alumni newsletter: Yes No

Would you like us to post your Email address: Yes No

Are you interested in an Alumni initiation: Yes No

Other Information (ex. graduation year, pledge class):