2026 Dues Renewal - Diamond Life & Golden Life Members

Quaker City Alumnae

DELTA SIGMA THETA SORORITY, INC.
2026 Dues Renewal Form (Jan 1, 2026 - Dec 31, 2026)

If you have trouble completing this form email the financial secretary at finsecdstquakercity@gmail.com
Diamond Life & Golden Life Members

ONLY
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.

DO NOT CHANGE ANY PREPOPULATED INFORMATION.

IT WILL DELAY THE PROCESSING OF YOUR DUES.
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*

Golden Life Member ($0)Diamond Life Member ($0)
Local Dues*

Local Dues Fee ($175)
Per Capita *

Per Capita Fee ($10)
Total Dues
USD
PayPal Fee (DO NOT ALTER)
USD
Total Dues + PayPal Fees
USD
TOTAL PAYMENT + PAYPAL FEES

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USDIncludes $.720 PayPal Fee
Should be Empty: