Southfield Alumni Chapter Reclamation Form

Renewal Form

2025 - 2026
WE NOW HAVE A PAYMENT PLAN AVAILABLE!

Make four (4) recurring monthly installments to pay your chapter dues.

Click on the link below to be taken to the monthly plan renewal form:

Start Your Payment Plan Today!

- OR-

Continue the form below to pay your dues in full.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email (please use a personal email if possible)*
example@example.com
Birth Date*

MonthDayYear
Emergency Contact*

First NameLast Name
Emergency Contact Mobile Phone Number*
Please enter a valid phone number.
Emergency Contact Email*
example@example.com
Note: Payment of dues on this site does not include annual Grand Chapter dues. The only way to pay Grand Chapter Dues is through the Brothers Only Login under the Members Only tab on www.kappaalphapsi1911.com.

Choose only one.*

Northern Province Life Member(Current life member but not financial at the alumni level)

$294.00

Non-Northern Province Life Member(Non-life member but not financial at the alumni level)

$351.00

Southfield Alumni Dues Only(Financial with another chapter and paying dues to Southfield Alumni Chapter. Dual chapter membership only.)

$294.00

Total

$0.00

Renewal Form