FY 2024 Annual Membership Dues Renewal – Loudoun County Alumnae Chapter

Delta Sigma Theta Sorority, Inc.

Annual Membership Dues Renewal

FY 2025
What is your membership status for Sorority Year 2025 (Jan 2025 to Dec 2025)?*

Financial - Life Member (Golden/Diamond Life)Financial - Regular MemberMember-at-LargeNon-Financial
Date

MonthDayYear
Date
Have you been active the last 2 sorority years?*

NoYes
NATIONAL DUES*
MEMBER-AT-LARGE, REGION
LATE FEE (10/1/24 - 12/31/24)*
LATE FEE (1/1/25 - 12/31/25)*
REINSTATEMENT FEE: *
CATEGORY CHANGE FEE:*
PER CAPITA FEE:*
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

CityState

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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