Website Permission Form



PERMISSION SLIP FOR WEBSITE USE

Webmaster:
 dawn_danker@yahoo.com

Website address: www.gammastate.org

Download File HERE

I give Gamma State of the Delta Kappa Gamma Society International permission to post my name, address, phone number, fax number, e-mail address, and/or picture on the official Gamma State
Web site. (If you do not have a FAX Number or an E-mail address, write "NA" on that blank.)


Name:_______________________________________________________________________

Chapter:_____________________________________________________________________

Address:_____________________________________________________________________

City, Zip:_____________________________________________________________________

Phone Number (with Area Code):_________________________________________________

FAX Number (with Area Code):___________________________________________________

E-mail Address:_______________________________________________________________

Please check below the capacity in which you serve Gamma State:

_____State Officer

_____Area Director

_____State Committee Chairman

_____Chapter President

_____Chapter member who is their chapter's e-mail contact

_____Other:  Please specify:__________________________________

Signed:___________________________________________________

Date:_____________________________________________________

Mail or Email Permission Form to

Dawn Danker, Webmaster
435 Skyline
Wellston, OK 74881
dawn_danker@yahoo.com 

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