Membership Registration Form

"*" indicates required fields

First Name*

Preferred First Name

Maiden Name

Last Name*

Email*

Phone*

Initiation Year*

This information populates your member profile and the alumnae directory.

Address*

City*

State*

Zip Code*

Chapter*

College Graduation Year

Please enter a number from 1900 to 2100.

Member Number

Optional — if you have it, please provide it.

Membership Dues*

First Year Alumnae – College graduates who are beginning the first year of their alumnae journey - $10.00

Pearl Society -Chi Omegas who have been initiated at least 50 years (If the current year is 2025, the Initiation was 1975 or earlier) - $10.00

Young Alumnae (Age 30 and under) $35.00

Owl Society (Age 31 and over) $50.00

White Carnation Circle – Membership dues and $100.00 tax-deductible contribution to scholarship and charities - $150.00

Founders’ Circle - Membership dues and $200 tax-deductible contribution to scholarship and charities - $250.00

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Additional Support

I would like to provide additional financial support for Chi Omega Alumnae Association programming and operations.

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Option

Enter Custom Amount

Donation

Price: $0.00

Untitled

I would like to cover the fees for this transaction.

3% Processing Fee

Price: $0.00

Total

Credit Card

Card Details

Cardholder Name