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Data Request Form

1. Name (First, Maiden, Last) *This question is required.

2. Are you a *This question is required.

3. Name of Chapter or alumnae group? *This question is required.

3. Office/Position *This question is required.

3. Who is your staff liaison? *This question is required.

3. Email Address *This question is required.

4. Who will you be sharing this information with (ex. EC, alumnae board, advisors etc.) *This question is required.

4. When do you need this information? Requests take 7-10 business days to process. Requests for less than 7-10 business days are not guaranteed to arrive on time.

*This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

5. For what purposes related to Alpha Gamma Delta will you be using this data? (Please be as specific as possible, requests may be denied if they lack information. Requests will not be published for promotional purposes.) *This question is required.

What demographic/audience are you requesting?

*This question is required.

7. If asking for members in a specific area, please provide the zip codes (in numerical order) you would like included in the data. We are unable to process radius requests at this time. (Ex. xxxxx, xxxxx, xxxxx, xxxxx) *This question is required.

What data are you requesting?

*This question is required.

First Name
Last Name
Maiden Name
Initiating Chapter
Initiation Year
Member Status (Collegian/Alumna)
Email Address
Street Address
State Residence
Zip Code
Phone Number

9. Do you want your data to include sisters with mailing addresses listed as invalid? *This question is required.

10. By clicking below, I agree that this information is for the reasons stated above and nothing more. Failure to disclose reasoning will result in a loss of further privileges.
*This question is required.

11. By clicking below, you agree that all communication (email, physical mailings, etc.) using the data you receive will also be sent to Alpha Gamma Delta International Headquarters via email or physical mailing. Failure to include IHQ in your distribution list can result in a loss of data privileges. *This question is required.