Life Membership - Kappa Kappa Psi

Alumni and Honorary Members of Kappa Kappa Psi are entitled to Life Membership. The Life Membership fee is $500, payable in full. Life Members will receive a membership card, certificate, pin, membership in the Kappa Kappa Psi Alumni Association, and a subscription to The PODIUM.

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Donation Amount:

$ 500.00

Recipient Information

Recipient's Full Name

Recipient's Maiden Name (if applicable)

Recipient's Email Address

Permanent Address 1

Permanent Address 2

City

State

Zip Code

Home Phone

Cell Phone

Occupation

Former Chapter

College / University

Year of Initiation

Graduation Date

Is this a gift?

Yes No

Full Name of Person giving gift

Where should the gift be sent?

Select Payment Method

Authorize.Net - Credit Card
Authorize.Net - eCheck
Offline Donation

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $500.00

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