Alpha Kappa Alpha Sorority, Incorporated
®
2021 Graduate Member Reactivation Remittance Form
___________________________ ______________________ ______________________________________________
_________________________
__________________________________________ ____________________________ _____ _________ _________
Address
City
State
Country
__________________________________________
_________________________
__________________________________ _______________________________
Names Previously Used
Chapter of Initiation and Year
• Only submit this form to the reclaiming chapter 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.
• If you wish to reactivate with General Membership, you need to complete a General Member Reactivation
Remittance Form and submit it with appropriate fees to the Corporate Office.
• Active membership expires December 31, 2021.
Reactivation Fee & Corporate Office Improvement Project (COIP) Assessment
The reactivation fee includes current dues 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:
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
Chapter Dues: $
Total Fees Submitted to the Chapter: $
_______________________
__________________________
First Name
Middle Initial / Name
Last Name
Chapter Assessments: $
___________________________
Reactivation Fee and COIP Assessment – $330.00**
Reactivation Fee and COIP Assessment – $355.00
Please submit this form and
Transfer Verification Form,
if applicable, with appropriate fees to the reclaiming chapter.
** 2020-2021 Membership Stimulus Package, Reduce-Retain-Reclaim: Reactivation fees received by February 1, 2021
are reduced by $25.00.
Reactivation Fee Only – $130.00**
After February 1:
Reactivation Fee Only – $155.00
Consult with the chapter for the following:
