Membership Dues Form 2027

Date

Membership Number

Full Name: Please use actual name in The Red Zone

First NameMiddle InitialLast Name

Address

Street Address

Street Address 2

CityState / Province

Postal / Zip Code

E-mail

Please include PERSONAL email address only; work email addresses are NOT allowed.

Preferred Phone

Format: (000) 000-0000.

Alternate Phone

Format: (000) 000-0000.

Date of Birth

Date

Generation Classification

Occupation (or former)

Organization/Place of Employment

Skills/Expertise

Please check Yes if any information is different from the last submission.

Chapter of Initiation

Initiation Date

Please is MM- DD-YYYY format, if possible

Undergraduate College/University

Collegiate Connection Dues Assistance Confirmation Code (if applicable):

Member Status

National Initiatives (select initiative and indicate donation amount below)

National Dues

My Products

Regular Member LOCAL DUES/NATIONAL DUES/PER CAPITA FEE

Also Select : 1. Reinstatement fee beginning December 20, 2026

$362.67

Life Member LOCAL DUES & PER CAPITA FEE (Golden Life or Diamond Life)

Note: You do not pay Late fees or Reinstatement fees.

$165.80

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)

PLEASE Select between September 20, 2026 and December 20, 2026 (DO NOT Select After December 20, 2026)

$10.38

Reinstatement Fee (for Regular Members Only)

If currently not financial for less than two years OR currently financial but payment is made after December 21, 2026 (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 Phila Alumnae Chapter Member)

$25.91

PayPal Transaction Fee

$0.49

Total