2025 - Dues Renewal Reinstatement (1 Year)- Regular Member

Quaker City Alumnae

DELTA SIGMA THETA SORORITY, INC.
2025 Dues Renewal Form

If you have trouble completing this form email the financial secretary at finsecdstquakercity@gmail.com
Regular Members ONLY - Reinstatement (1 Year)
An (*) indicates a mandatory field. If there is no asterisk and it does not apply to you do not click anything.

Upon completing this form you will be directed to paypal to complete your dues payment.
Name*

First NameLast Name
Member Number *
Chapter Name *
Chapter Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*

Area CodePhone Number
Email*
example@example.com
Age Classification*
National Dues*

Regular Membership ($190)
Per Capita *

Per Capita Fee ($10)
Local Dues*

Local Dues Fee ($175)
Not Financial Previous Fiscal Year (or did not remit annual dues by 12/31/2024 Deadline)*

Reinstatement Fee ($15)
Total Dues
USD
PayPal Fee
USD
Total Dues + PayPal Fees
USD
TOTAL PAYMENT + FEES

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USD
Should be Empty: