2015 MEMBERSHIP FORM
SOUTHEASTERN VIRGINIA ALUMNAE CHAPTER OF
KAPPA ALPHA THETA
(For the electronic version of this form, go to
http://sevirginia.kappaalphatheta.org/page/membership)
Name:
First
Maiden/Middle
Last
Preferred Name
Address:
Apt/Unit Number
Street Address
State
City
Email
Address:
Zip Code
Phone:
Home / Cell / Work
College
Chapter:
Initiation Year:
Please indicate below if you wish to us to omit any of the above items from the Membership
Directory (distributed to 2015 dues-paying members only):
I would like to be added to the email list for the following interest group(s):
Book Club. Meets the first Monday evening of each month.
Golden Thetas. Meets periodically for lunch during the week.
I would like to serve on the following committee(s):
Executive Board. Serves as a chapter officer and attends monthly board meetings.1
Founders Day Committee. Assists with organizing our annual Founders Day celebration.
Service Committee. Assists with the annual fundraiser and other service related events.
Communications. Assists with newsletters, Evites, webpage, and Facebook.
I am interested in hosting an event at my home:
Yes
No
I am remitting payment to Kappa Alpha Theta for the following:
2015 Membership Dues (Please select ONE.)
 Active Member. Includes the Fraternity per capita dues for 2015.2
 KAΘ Life Loyal Member. Has paid lifetime Fraternity per capita dues to KAΘ.3
 2014 or 2015 College Graduate. Includes the Fraternity per capita dues for 2015.4
$50.00
$20.00
$30.00
Founders Day Luncheon. (Please select ONE.)
 2015 Member of the Southeastern Virginia Chapter of Kappa Alpha Theta.
 Non-member.
$27.00
$30.00
Please indicate entrée selection:
Optional Donations.
 Donation to the Chapter.
 Donation to KAΘ Foundation.5
 Donation to Friendship Fund.
$
$
$
TOTAL (payable to Kappa Alpha Theta)6
$
1
Please contact President Celeste Murphy Greene at celestegreene1968@gmail.com or 757-502-4097
for opportunities and additional information.
2
Active Member dues consist of $20 annual alumnae chapter dues and $30 annual Fraternity per capita
dues which the chapter is required to remit to Kappa Alpha Theta for each member that is not a member
of KAΘ Life Loyal. (See below.)
3
A KAΘ Life Loyal Member only pays $20 for annual alumnae chapter dues because she has paid a onetime membership fee that exempts her from the annual Fraternity per capita dues for life. For additional
information and to join KAΘ Life Loyal go to http://lifeloyal.kappaalphatheta.org/
4
2014 and 2015 graduate dues are $30 which covers the annual Fraternity per capita dues which the
chapter remits to Kappa Alpha Theta on her behalf. The chapter waives the $20 annual alumnae chapter
dues for the first year.
5
If you include your Kappa Alpha Theta Foundation donation in your total payment, we will forward the
funds as you indicated but your contribution will not be tax-deductible. If you wish to make a taxdeductible donation, you may do one of the following:
a.
Write a separate check payable to Kappa Alpha Theta Foundation and mail the check in
the same envelope as your completed membership form and dues check. (See the Payment
Options below.)
b.
Donate directly to Kappa Alpha Theta Foundation at
www.kappaalphathetafoundation.org. Place your cursor over Give Back and then Annual Giving.
(1)
For credit card and PayPal account payments, select Donate Now Online and
follow the directions. Input Southeastern Virginia Alumnae Chapter in the note to seller in
PayPal.
(2)
For mail and phone payments, select Give by Mail or Phone and follow the
directions. Mention Southeastern Virginia Alumnae Chapter in the check memo (mail) or
to the Foundation staff member (phone).
6
Payment Options:
a.
Mail completed membership form and check for the TOTAL amount payable to Kappa
Alpha Theta to:
Leigh Ashley, Treasurer
5332 Fareham Lane
Virginia Beach, Virginia 23455
- OR b.
Email completed membership form to sevathetas@gmail.com and send payment for the
TOTAL amount through PayPal, email address sevathetas@gmail.com
If you have any questions, you may contact Leigh Ashley, Treasurer, at aleighashley@gmail.com or 757490-6558.