Membership Dues Form 2025
Membership Number
*
Full Name
*
First Name
Middle Initial
Last Name
Address
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
E-mail
*
Please include PERSONAL email address only; work email addresses are NOT allowed.
Preferred Phone
*
Alternate Phone
Date of Birth
-
Month
-
Day
Year
Date
Age Classification
*
Please Select
Doll (18-39)
Diva (40-61)
DEAR (62+)
Undergraduate College/University
*
Occupation (or former)
Organization/Place of Employment
Skills/Expertise
Chapter of Initiation
*
Initiation Date
Collegiate Connection Dues Assistance Confirmation Code (if applicable):
Member Status
Please Select
New Chapter Member
Current Chapter Member
Returning Chapter Member
Transferring from Collegiate to Alumnae
National Dues
*
Please Select
Golden Life Member
Diamond Life Member
Regular Member
National Initiatives (select initiative and indicate donation amount below)
Professor Endowed Chair
Delta Research & Educational Foundation (DREF)
Preserve Our Legacy Initiative
International Sustainability Initiative
Dues
*
prev
next
( X )
Life Member LOCAL DUES & PER CAPITA FEE (Golden Life or Diamond Life)
$
165.80
Regular Member LOCAL DUES/NATIONAL DUES/PER CAPITA FEE
$
362.67
Collegiate Transitioning to Alumnae NATIONAL DUES/PER CAPITA FEE
$
207.23
Collegiate Connection Dues Assistance NATIONAL DUES/PER CAPITA FEE
$
207.23
Late Fee (for Regular Members Only)
If currently financial and remitted between November 1 and December 31, enter $10.00 (excluding Life Members)
$
10.38
Reinstatement Fee (for Regular Members Only)
If currently not financial or payment is made after December 31, 2024 (excluding Life Members)
$
15.56
Reinstatement Fee - Inactive 3 or more years
If a member has not paid dues for two or more years (excluding Life Members), the reinstatement fee is applicable.
$
31.10
Category Change Fee (If category change from last year i.e. Member-at-Large to Chapter Member)
$
25.91
PayPal Transaction Fee
$
0.49
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
SUBMIT
Should be Empty: