Alpha Kappa Alpha Sorority, Incorporated
®
2021 General Member Reactivation Remittance Form
___________________________ ______________________ ______________________________________________
_________________________
__________________________________________ ____________________________ _____ _________ _________
Address
City
State
Country
__________________________________________
_________________________
__________________________________ _______________________________
Names Previously Used
Chapter of Initiation and Year
• Only submit this form if you have been inactive for more than one year.
•If you owe a debt to your former chapter, your reactivation will be delayed until the debt is cleared.
• An undergraduate soror cannot reactivate as a General Member if there is a chapter on that campus.
• Active membership expires December 31, 2021 and there are no prorated fees.
Reactivation Fee & Corporate Office Improvement Project (COIP) Assessment
The reactivation fee includes current dues,
Constitution and Bylaws, Manual of Standard Procedure
and
Educational Advancement Foundation (EAF) dues ($10.00).
COIP assessment is a ONE-TIME $200.00 fee imposed to ALL financially active sorors initiated
after
July 31, 1943
. This
fee was included in your initiation fees if you initiated after July 1992.
Please select
one:
** 2020-2021 Membership Stimulus Package, Reduce-Retain-Reclaim: Reactivation fees submitted by February 1, 2021
are reduced by $25.00. You may fax this form with credit card information or mail with a certified check/money order to:
Alpha Kappa Alpha Sorority, Incorporated
®
Corporate Office
5656 S. Stony Island Avenue
Chicago, IL 60637
Select Payment Method-Money Order, Certified Check or Credit Card
Fax: 773-288-8251
Email
ZIP
Date: _________________________
Financial No. (Not Required )
Cell Phone
_________________________
Home Phone
_________________________
Last Affiliation and Year*
* Last affiliation is your last chapter or general member affiliation and year
COMPLETE THIS FORM IN FULL TO ENSURE CORRECT AND TIMELY PROCESSING
First Name
Middle Initial /
Name
Last Name
Money Order or Certified Check Enclosed (Personal checks will be returned)
Credit Card Type
____________________
Exp Date ____/____ Card #_____________________________
Credit Card Holder’s Name_________________________ Card Holder’s Signature________________________
Reactivation Fee Only – $280.00**
Reactivation Fee Only – $305.00
Reactivation Fee and COIP Assessment – $480.00**
Reactivation Fee and COIP Assessment – $505.00
After February 1:
click to sign
signature
click to edit
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