Membership Dues 2021/2022 Membership Dues 2021/2022 Regular members should submit payment here for 2021/2022 dues. Member Number* Name*FirstMI (enter N/A if not applicable)Last Address* Street Address City State / Province / Region Postal / Zip Code Email* Preferred Phone* Alternate Phone Date of Birth01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Occupation (or former) Organization/Place of Employment Skills/Expertise Age Classification*Doll (18-39)Diva (40-61)Dear (62+) Chapter of Initiation* Initiation Date01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year National Dues*Select productGolden LifeDiamond LifeRegular Member ($190) PC*Per Capita ($10) Membership Type when last active*Select valueAlumnaeCollegiateMember at Large Category Change Fee*MAL to Alumnae ($25) Did you graduate within the last year?*NoYes Local*Chapter Dues ($150) Are you currently active or being reclaimed?*Currently ActiveBeing Reclaimed DREF USD Professor Endowed Chair USD Preserve Our Legacy Initiative USD International Sustainability Initiative USD Enter the amount of your refund if this applies Mandatory Fee*Paypal Fee ($0.49) TotalSubmitReset Member Number* Name*FirstMI (enter N/A if not applicable)Last Address* Street Address City State / Province / Region Postal / Zip Code Email* Preferred Phone* Alternate Phone Date of Birth01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Occupation (or former) Organization/Place of Employment Skills/Expertise Age Classification*Doll (18-39)Diva (40-61)Dear (62+) Chapter of Initiation* Initiation Date01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year National Dues*Select productGolden LifeDiamond LifeRegular Member ($190) PC*Per Capita ($10) Membership Type when last active*Select valueAlumnaeCollegiateMember at Large Category Change Fee*MAL to Alumnae ($25) Did you graduate within the last year?*NoYes Local*Chapter Dues ($150) Are you currently active or being reclaimed?*Currently ActiveBeing Reclaimed DREF USD Professor Endowed Chair USD Preserve Our Legacy Initiative USD International Sustainability Initiative USD Enter the amount of your refund if this applies Mandatory Fee*Paypal Fee ($0.49) TotalSubmitReset
