OMICRON DELTA EPSILON International in Membership Application Form

This membership application should be filled legibly and completely. Complete application (top half), one-time membership dues of $80.00 (in the form of two checks, one for $32.00 made payable to “Omicron Delta Epsilon” and one for $48.00 to “ODE at UT”), and submit to Jana Cole, Honors Coordinator, in the Economics Department Undergraduate Advising Office, BRB 1.114. Each member will receive The American for one year (2 issues) free of charge, beginning with the first issue after your initiation date. Inductees need not purchase honors cords or a membership plaque. Jewelry may be purchased online after induction. PLEASE PRINT

Chapter Name ODE at UT College/University University of Texas - Austin

Type of Membership (Check One) ❑ Undergraduate ❑ Graduate ❑ Faculty ❑ Charter ❑ Honorary ❑ Alumni

Member's Name (Mr. or Ms.)

Initiation Date (Day, Month, Year) Thursday, September 26th, 2013

Permanent address to which you wish the journal to be sent. (Pleasenote: Your journal will not be forwarded)

Mailing Address City State Zip

T-Shirt Size ______Expected Graduation Date ______

Email ______

Omicron Delta Epsilon JEWELRY — Wear It With Pride! Please specify the jewelry item you desire by checking the appropriate boxes. (Jewelry will be delivered to address above in 4 - 6 weeks) ❑ Gold Kase $20.00 ❑ 10K Gold $260.00

❑ KEY CHARM ❑ KEY CHARM ❑ KEY PIN ❑ KEY PIN ❑ KEY TIE TACK ❑ KEY TIE TACK

For more ODE merchandise, please visit: www.omicrondeltaepsilon.org.

MEMBERSHIP SCROLL PLAQUE

The official Membership Scroll for Omicron Delta ❑ PLAQUE $35.00 Epsilon is pictured here framed in our Walnut-Finished Plaque. Each plaque is 11 1/2 x 14 inches in size, has a crystal clear acrylic covering, and comes ready for assembly in seconds. To order one for your membership scroll, check the appropriate box. The plaque cannot be shipped to a foreign address.