Tau Chapter Mail in Application

Pi sigma Alpha The National Political Science Honor Society - Tau Chapter -
Membership Application Form:
Local Address: Name: Street: City: State: Zip Code:	Permanent Address: (If different then local) Street: City: State: Zip Code:
Name: (as you would like it to appear on your certificate)
E-mail Address: Phone #: (include area code)
Major: Your G.P.A.: (minimum 3.2) Graduation Date:
How do you want to be contacted? Email Phone Mail
Please fill out and print this form and mail it with a check for your membership fee made out to Pi Sigma Alpha, Tau Chapter to: PSA Advisor 511 Oldfather Hall P.O. Box 880328 Lincoln, NE 68588-0328 Thank you for your interest in Pi Sigma Alpha - Tau Chapter A Tau Chapter representative will contact you when your application is received.