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Membership in Chi Omega is for a lifetime. Our network of Sisters and the spirit of Chi Omega are a home wherever you are. We invite you to connect!

For membership, news, and upcoming events, please contact:

Nicole Clark Blumenthal, MBA, President

1133 Ashley Ave.

Indian Harbour Beach, FL 32937

(321) 525-1340

or you may e-mail the form below to:
blumenthal.nicole@gmail.com

Chi Omega Space Coast Alumnae Association  

 

 

Name ________________________________________________________________

                                First                                          Maiden                                     Last                                         Husband

 

 

Address_______________________________________________________________

                                Number & street                                                                       City                                          State        Zip

 

 

Phone Number__________________________________________________________

                                                Home                                                                       Work                                        Cell

                               

                                    ________________________________________

                                                FAX

 

 

Birthday _____________________________________________

                                                Month (please spell out)                                           Day

 

 

E-mail_______________________________________________

 

 

College/University______________________________________

 

 

Chapter ______________________________   Year of Initiation_________________

 

 

Occupation ________________________________________________