Annual Membership Dues Renewal (2022-2023) – Loudoun County Alumnae Chapter

Delta Sigma Theta Sorority, Inc.

Annual Membership Dues Renewal

FY 2022-2023
What is your membership status for the 2021-2022 sorority year? *

Financial - Life Member (Golden/Diamond Life) Financial - Regular Member Member-at-Large Non-Financial
Date

Month Day Year
Date
Have you been active the last 2 sorority years?

No Yes
NATIONAL DUES
MEMBER-AT-LARGE, REGION
LATE FEE (4/1 - 6/30)
LATE FEE (7/1 - 12/31)
REINSTATEMENT FEE:
CATEGORY CHANGE FEE:
PER CAPITA FEE: *
PROFESSOR ENDOWED CHAIR DONATION
DELTA RESEARCH & ED. FOUNDATION:
PRESERVE OUR LEGACY INITIATIVE
INTERNATIONAL SUSTAINABILITY INITIATIVE CONTRIBUTION
LOCAL DUES *
Total Dues
PayPal Fee
Total Payment
MEMBER NO. *
MEMBER CODE
FIRST NAME *
LAST NAME *
CHAPTER NAME
CHAPTER NO.
Address *

Street Address

Street Address Line 2

City State

Zip Code
HOME TELEPHONE *
Please enter a valid phone number.
WORK TELEPHONE
Please enter a valid phone number.
E-MAIL ADDRESS *
example@example.com
CHAPTER MEMBER: MUST remit form and fees to the Chapter. Chapter must submit chapter membership dues on-line.

MEMBER-AT-LARGE: MUST submit dues on-line by logging on to https://delta.dstonline.org/DSTMember/Sign_In to pay by credit card online.

Download the Credit Card Form from the website. Go to: www.deltasigmatheta.org and click on the Members Only button.
PAYMENT INFORMATION
Dues Total

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USD Membership Dues

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