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Diamonds Alumnae Association Registration

Register as Girl Scout Alumnae
*Title:
*First Name:
*Last Name:
*Email Address:
Company
*Date of Birth:
*Home Address:
*City:
*State:
*Zip:
Home Phone Number:
*Alternate Phone Number:
*Preferred Method of Contact:



Yes. I was a Girl Member.








Please list City & Decade
Yes. I am an Adult Member.
Please enter years of service.
Positions held as an Adult Member:
Comments:
Girl Scout Status
*Indicate your current Girl Scout status (check all that apply):



Please indicate all awards earned (check all that apply):





*What are the Alumnae Association activities in which you might be most interested? (check all that apply):




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