NAC Dues Renewal Form

Name *

First Name Middle Name Last Name

Full Name at Time of Initiation *

Year of Initiation: *

Chapter of Initiation *

Membership Number *

Generation of Birth *

Greatest (1901-1924) Silent (1925-1945) Baby Boomers (1946-1964) Generation Y (1965-1979) Generation X (1980-1997)

Sororal Year *

2018-2019 Year 2019-2020 Year 2020-2021 Year

Are you being reclaimed

Yes No

If so, by whom

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

Phone Number *

Area Code Phone Number

Membership Type ( choose only 1 category) *

01 Regular Member $ 350.00

14 Life Member $ 160.00

08 Golden Life $ 160.00

40 Diamond Life $ 160.00

$25.00 Reinstatement fee: Soror that has been non-financial for 2 + years $ 375.00

Recent Graduate $ 200.00

Total $ 0.00

$00.00 (Paying Jan 01 through March Sorority meeting and/or Life Member anytime)

$ 5.00 (Late Fee: Starts the day after Mar Sorority meeting until the 3rd Wed in June)

$15.00 (Remitting Fee: Soror is currently financial and remitting after the 3rd Wed in June)

$25.00 (Reinstatement Fee: Soror that is non-financial for 2+ years)

In order to register for the National Convention that will be held in the summer of 2019, you must be financial for the current fiscal year (July 1, 2018 – June 30, 2019). In order to attend, you will need to be financial for the fiscal year in which the conference takes place, fiscal year (July 1, 2019 – June 30, 2020).

Online Dues Form

**Reinstatement Fees Description: