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Delta Sigma Theta Sorority, Inc - Annual Membership Dues Renewal FY 2021-2022
This process remits form & fees to the Chapter. Members can submit membership dues on-line.
7
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1
MEMBERSHIP INFORMATION
Please enter your assigned Delta Sigma Theta Sorority, Inc. Membership Number
Enter Your MEMBER NUMBER
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2
SELECT YOUR MEMBERSHIP CODE
This section
ONLY
selects the appropriate code. It
does not select your dues amount
for checkout.
All membership code designations automatically include the Per Capita Fee ($10).
01 - Regular Member
14 - Life Member
08 - Golden Life Member (Paid-in-Full @ $500)
04 - Golden Life Member (Paid-in-Full @ $750)
40 or 44 - Diamond Life Member (Paid-in-Full @ $1500)
64 - Golden Life Member (Paid-in-Full @ $750 Upgrade to Diamond Life)
68 - Golden Life Member (Paid-in-Full @ $500 Upgrade to Diamond Life)
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3
FULL NAME
*
This field is required.
Prefix, FirstName, Middle Name (or NMN), Last Name
Ms.
Mrs.
Dr.
Ms.
Mrs.
Dr.
Prefix
First Name
Middle Name
Last Name
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4
SELECT CHAPTER NAME - CHAPTER NUMBER
Augusta Alumnae Chapter - 0613
Augusta Alumnae Chapter - 0613
Augusta Alumnae Chapter - 0613
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5
ADDRESS
*
This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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6
PHONE NUMBER
*
This field is required.
Please provide a phone number where you can be reached if needed.
Area Code
Phone Number
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7
Delta Sigma Theta Sorority, Inc. Annual Membership Dues Renewal Processing Form
Please checkout by clicking on the “ + ” sign AFTER you select the correct membership category (1 through 13). Then Click on “REVIEW & SUBMIT”. Please note that each number represents Dues Options such as
'Regular Member dues', 'Diamond Life Member', 'Golden Life Member' Dues,
etc.
A
"Per Capita Fee"
and
"Convenience Fee" is automatically included
for
ALL
Membership Types. ----- The Late Fee and Reinstatement Fees ARE Waived due to Covid-19.
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ORDER SUMMARY
Total cost
USD
CHARTER MEMBER
Charter Member Dues include a Per Capita Fee ($10.00) and a convenience fee ($0.60)
$
10.60
+
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DIAMOND LIFE MEMBER
Diamond Life Member Dues includes Local Dues ($200.00), a Per Capita Fee ($10.00) and a convenience fee of ($6.58).
$
216.58
+
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REGULAR MEMBER
Augusta Alumnae Chapter DST Annual Dues required by all members with the exception of Charter Members. This amount includes Local Dues ($200.00), National Dues ($190.00), a Per Capita Fee ($10.00) and a convenience fee of ($12.26)
$
412.26
+
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GOLDEN LIFE MEMBER
Golden Life Member Dues include Local Dues ($200.00), a Per Capita Fee ($10.00) and a convenience fee of ($6.58).
$
216.58
+
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54th National Convention Credit
Please see AACDST Financial Secretary for your credit amount to be entered. Email: financialsecyaacdst@gmail.com
$
-1.00
+
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54th NC Credit
CATEGORY CHANGE FEE
Changing your status from Member-at-Large to Regular Member is $25.00 with a $1.06 convenience fee charge.
$
26.06
+
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Professor Endowed Chair Donation
Please ADD a $3 (convenience fee) for every $50.00 Donation that you make. Thank you.
$
1.00
+
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Donation Amount
Delta Research & Education Foundation
Please ADD a $3 (convenience fee) for every $50.00 Donation that you make. Thank you.
$
1.00
+
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Donation Amount
Preserve Our Legacy Initiative
Please ADD a $3 (convenience fee) for every $50.00 Donation that you make. Thank you.
$
1.00
+
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Donation Amount
International Sustainability Initiative Contribution
Please ADD a $3 (convenience fee) for every $50.00 Donation that you make. Thank you.
$
1.00
+
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Donation Amount
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