Membership Dues 2022/2023

Regular members should submit payment by March 20, 2022 to avoid a late fee of $10.

Member Number*

Name*

First

MI (enter N/A if not applicable)

Last

Address*

Street Address City State / Province / Region Postal / Zip Code

Email*

Preferred Phone*

Alternate Phone

Date of Birth

day

/

month

/

year

Undergraduate College/University*

Occupation (or former)

Organization/Place of Employment

Skills/Expertise

Age Classification*

Doll (18-39)

Diva (40-61)

Dear (62+)

Chapter of Initiation*

Initiation Date

National Dues*

PC*

Per Capita ($10)

Membership Type when last active*

Category Change Fee*

MAL to Alumnae ($25)

Did you graduate within the last year?*

No

Yes

Local*

Chapter Dues ($150 + $75 short year)

Are you currently active or being reclaimed?*

Currently Active

Being Reclaimed

Reinstatement Fee*

$15.00 if currently not financial (2021 - 2022)

$30.00 if not financial for two or more years

DREF (DO NOT include $ symbol)

USD

Professor Endowed Chair (DO NOT include $ symbol)

USD

Preserve Our Legacy Initiative (DO NOT include $ symbol)

USD

International Sustainability Initiative (DO NOT include $ symbol)

USD

Mandatory Fee*

Paypal Fee ($0.49)

Total