AMARILLO  RED RAIDERS
ADDRESS ENTRY FORM
Use this form to add yourself or a friend to our chapter data base


First name      Last name 

Address      City  Zip code 

E-mail address  Home phone      Work phone 

Spouses name (if applicable Is your spouse a Tech Grad?   YES   or NO 

Tech graduation year:   Yours     Spouse's year 

Would you be interested in serving on the board?   YES    or NO 

Would you be interested in assisting in event planning?   YES    or NO 

Comments or suggestions:




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