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Returning Member Dues 2011
$50

Graduate Member Dues 2011
$110

New Member Dues 2011
$100

 

Pay your Membership Dues of PhiDE online with Paypal first and then submit the following information to PhiDE. Thank you.

First Name:
Last Name:
Maiden (If Applicable):
Street Address:
City:
State:
Zip:
Home Telephone:
Business Telephone:
Fax:
E-Mail:
College / University:
Chapter Name:
Year Initiated:
Specialty:
Are you willing to assist the Fraternity as a Chapter Advisor or Mentor?