Delta Sigma Theta Sorority, Inc. Annual Membership Dues Renewal
FY 2022-2023

 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.

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Download the Credit Card Form from the website. Go to: www.deltasigmatheta.org and click on the Members Only button.

NATIONAL DUES ($190) 

MEMBER-AT-LARGE, REGION

($200 MAL Fee includes Per Capita Fee)

LATE FEE (If currently financial and remitted
between April 1 and June 30, enter $10.00)

REINSTATEMENT FEE (If currently unfinancial or remitted after June 30, enter $15.00; Enter $30 if not financial for two or more years)

CATEGORY CHANGE FEE (Changing status from Regular Member to Member-at-Large or from Member-at-Large to Regular Member - $25.00)

PER CAPITA FEE: ($10)

PROFESSOR ENDOWED CHAIR

DONATION

DELTA RESEARCH & ED. FOUNDATION

PRESERVE OUR LEGACY INITIATIVE

INTERNATIONAL SUSTAINABILITY

INITIATIVE CONTRIBUTION

LOCAL DUES TOTAL

$200.00

TOTAL

PLEASE TYPE!

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MEMBER NO.                                                                                         MEMBER CODE

FIRST NAME                                                      MI                                       LAST NAME

 CHAPTER NAME                                                                                                             CHAPTER NO.

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CITY                                     STATE                                                   ZIP

HOME  TELEPHONE                                    

WORK TELEPHONE   

EMAIL ADDRESS          

 
ADDRESS

PAYMENT INFORMATION

MEMBER

CODE

01         Regular Member (includes the Per Capita Fee) ................................................................................................

03        Member-at-Large Region ($190 dues, $200 MAL fee which includes the Per Capita Fee).................

14         Life Member (Per Capita Fee) ................................................................................................................................

16         Life Member-at-Large ($200.00 MAL fee which includes the Per Capita Fee)......................................

08        Golden Life Member (Paid-in-Full @ $500 Per Capita Fee)........................................................................

13         Golden Life Member-at-Large Region (Paid-in-Full @ $500, $200 MAL fee which includes

             the Per Capita Fee) ..................................................................................................................................................

04        Golden Life Member (Paid-in-Full @ $750 Per Capita Fee)........................................................................

18         Golden Life Member-at-Large Region (Paid-in-Full @ $750, $200 MAL fee which includes

             the Per Capita Fee) ..................................................................................................................................................

40        Diamond Life Member (Paid-in-Full @ $1500 Per Capita Fee) .................................................................

42         Diamond Life Member-at-Large Region (Paid-in-Full @ $1500 Lump Sum, $200 MAL fee

             which includes the Per Capita Fee) ......................................................................................................................

44         Diamond Life Member (Paid-in-Full @ $1500 Per Capita Fee) .................................................................

46         Diamond Life Member-at-Large Region (Paid-in-Full @ $1500, $200 MAL fee which includes

             the Per Capita Fee) ...................................................................................................................................................

64         Golden Life Member (Paid-in-Full @ $750 Upgrade to Diamond Life Per Capita Fee) .......................

65         Golden Life Member-at-Large Region (Paid-in-Full @ $750) Upgrade to Diamond Life

             $200 MAL fee which includes the Per Capita Fee) .........................................................................................

68         Golden Life Member (Paid-in-Full @ $500 Upgrade to Diamond Life Per Capita Fee).......................

69         Golden Life Member-at-Large Region (Paid-in-Full @ $500) Upgrade to Diamond Life

              $200 MAL fee which includes the Per Capita Fee)..........................................................................................

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Late Fee – Submit if currently financial and remitted between April 1 and June 30................................................

Reinstatement Fee – Submit if currently unfinancial or remitted after June 30 ......................................................

*Reinstatement Fee* - Submit if a soror has not paid all dues and fees for two or more years............................

Category Change Fee – Changing from Member-at-large to Regular Member or from

                                                Regular Member to Member-at-Large.............................................................................

THIS FORM REPLACES THE ANNUAL MEMBERSHIP DUES RENEWAL MULTI-PART FORM.

      This form is for informational purposes only and should not be submitted to National Headquarters

PER CAPITA FEE ($10) – funds used for the maintenance and improvement of our National Headquarters

PROFESSOR ENDOWED CHAIR DONATION – to fund the designation of a scholar to teach at Historically

Black Colleges & Universities

DELTA RESEARCH & EDUCATIONAL FOUNDATION (DREF) – to support program initiatives of DREF, the Delta Foundation

PRESERVE OUR LEGACY INITIATIVE – to sustain and preserve our legacy of serving our communities with charitable services and programs

INTERNATIONAL SUSTAINABILITY INITIATIVE CONTRIBUTION – to support International Awareness and Involvement program initiatives

$390.00

$   10.00

$200.00

$   10.00

$    10.00

$200.00

$  10.00

$200.00

$   10.00

$200.00

$    10.00

$200.00

$   10.00

$200.00

$  10.00

$  15.00

$  30.00

$  25.00

$200.00