Sign Up | The Loyal Order

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Sign Up for The Loyal Order

You will be surprised to learn that the one-time cost of membership is only $299. If you prefer, you may choose to make twelve convenient monthly installments of $29 each. (*A small processing fee has been added to each installment to cover the additional handling costs involved.)

Note: The Loyal Order membership is not tax deductible as a charitable contribution.

First Name: Middle Name: Last Name:

Preferred Name Name as you would like it to appear on membership card:

School or Chapter: Initiation Year:

Home Address:

City: State: Zip Code:

Email Address:

Home Phone:    Business Phone:

Payment Information:

There are two payment options for Loyal Order membership. Please select below.

  Full payment ($299)
  Partial payment (12 monthly installments of $29 charged to       my credit card.)
  I am not ready to join the Loyal Order, but please sign me up
      for a one year only subscription to Kappa Alpha Journal ($18.65)

Sending as a gift from:

Promotional Code:

Credit Card Information:

  Visa
  MasterCard
  American Express

Name as it appears on Card: Card Number (16 digits with no spaces)

Expiration Date:

Security Code:   (3 or 4 digits on back of card)

(It may take a moment to process this form. Please be patient.)

Feel free to contact Kathy Rhodenizer, at krhodenizer@ka-order.org with any questions about The Loyal Order Program.

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