Below is the application form to fill out. Please copy (cut) the form, and then paste it onto an email and send the completed application to BOTH:
Karen Huckins Vice President of On Line Beta and Dianne Kent Secretary of On Line Beta.



I understand that the information I am giving below will be used as an
application to visit On-Line Beta.  It will also be sent to the OLB
members.  I am giving my permission to do so
.

DATE: 

NAME: 
MAILING ADDRESS: 
PHONE: 
EMAIL: 
Yahoo Messenger: (if any)                       
AOL IM:(if any) 
MSN Messenger: (if any)
WEB PAGE:                   
BIRTH DATE: 

HUSBAND: 
CHILDREN: 
ANY LEGACIES: 
MY JOB/PROFESSION: 
ANNIVERSARY: 
PETS: 

HOBBIES: 
COLLECTIONS: 
CD'S: 
FAVORITE COLORS: 
FAVORITE PERFUME: 
FAVORITE FLOWERS: 
FAVORITE MUSIC: 
FAVORITE BOOKS/AUTHORS: 
A "SPECIAL" GIFT TO ME WOULD BE: 
OTHER STATES/COUNTRIES LIVED IN: 
DISLIKES: 
OTHER COMMENTS--ANYTHING ELSE YOU WOULD LIKE YOUR SISTERS TO KNOW ABOUT 
YOU: 

BSP NUMBER:                        
DEGREE IN BSP: 
YEAR PLEDGED:                    
CURRENT STATUS: 
DO YOU BELONG TO ANOTHER ON LINE CHAPTER: 
HONORS: 
NAME OF LAND CHAPTER: