Columbus (GA) Alumnae Chapter of Delta Sigma Theta Sorority, Inc

Columbus (GA) Alumnae Chapter of Delta Sigma Theta Sorority, Inc

Annual Dues Renewal Form
Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number *
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Are you being reclaimed? *

Yes No
If you are being reclaimed, by whom?
Member Number *
Annual Dues Type *

Regular Membership Dues $360 (includes $10 per capita fee) Life Membership Dues $170 (includes $10 per capita fee) Member-at-Large Dues $390 (includes $10 per capita fee)
Additional Fees (if applicable)

Late fee $10 (if currently financial and paying dues between April 1 and June 30) Reinstatement fee $15 (if currently non-financial or paying dues after June 30) Reinstatement fee $30 (if non-financial for 2 or more years) Category Change $25 (changing status from Regular Member to Member-at-Large or Member-at-Large to Regular Member)
Donations (if applicable)

Preserve Our Legacy Delta Research and Educational Foundation (DREF) International Sustainability Initiative Collaboration Professional Endowed Chair Donation
Chapter Number: *

188
Dues Options *
Categories: All

All

Donations
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Regular Membership Dues (includes $10 per capita Fee)
$ 373.53

Life Membership Dues (includes $10 per capita Fee)
$ 176.66

Member at Large Dues (includes $10 per capita Fee)
$ 404.61

Late Fee (if currently financial and paying dues between April 1 and June 30)
$ 10.87

Reinstatement Fee-Non-Financial Reinstatement fee $30 (if non-financial for 2 or more years)
$ 31.59

Category Change Category Change $25 (changing status from Regular Member to Member-at-Large or Member-at-Large to Regular Member)
$ 26.41

Donations

Preserve Our Legacy Donation The donation option is in multiples of $5. Enter the quantity based on the amount you want to donate.
$ 5.69 Quantity

Delta Research and Educational Foundation (DREF) Donation The donation option is in multiples of $5. Enter the quantity based on the amount you want to donate.
$ 5.69 Quantity

International Sustainability Initiative Collaboration Donation The donation option is in multiples of $5. Enter the quantity based on the amount you want to donate.
$ 5.69 Quantity

Professional Endowed Chair Donation The donation option is in multiples of $5. Enter the quantity based on the amount you want to donate.
$ 5.69 Quantity

Total

$ 0.00
Please note that this form goes directly to the Chapter Financial Secretary and Chapter Treasurer to accompany your payment below. Please review information for accuracy to ensure it matches your information on your profile at National.

Payment may be remitted using check (mail to CAC DST - PO Box 12141 - Columbus, GA 31917) or PayPal (see link below, which includes a 2-3% PayPal fee).

Please direct all questions about dues to the Chapter Financial Secretary.

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