DAC Dues 2021-2022
Complete Form & Submit Fees via PayPal
Name (As Recorded with Grand Chapter)
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First Name
Last Name
Address
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Street Address
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Phone Number
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Please enter a valid phone number.
PERSONAL Email Address (Cannot be a work email)
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Membership Number
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Membership Type
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Please Select
Regular Member
Golden/Diamond Life Member
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Regular Member
Regular Member $390.00 + $11.96 PayPal Fee
$
401.96
Golden/Diamond Life Member
Golden/Diamond Life $200.00 + $6.28 PayPal Fee
$
206.28
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