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.

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!

MEMBER NO.                                                                                         MEMBER CODE

 

FIRST NAME                                                      MI                                       LAST NAME

 

 CHAPTER NAME                                                                                                             CHAPTER NO.

 

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)..........................................................................................

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