NDSA Membership Verification

Membership Verification

Welcome to the North Dallas Suburban Alumnae Chapter of Delta Sigma Theta Sorority, Inc. Please complete the membership verification form at your convenience. For any questions related to financial status, dues or transfers, email finance@dstndsa.org. A Finance Team member will be happy to assist you.
Section I. Personal Information
Full Name

First NameMiddle NameLast Name
Member ID Number
Date of Birth

MonthDayYear
Date
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Membership Details (select all that apply)
Section III. Authorization
Certification Statement
Signature
Date

MonthDayYear
Date
Should be Empty:

Membership Verification