Membership Verification Request

Membership Verification - Kansas City (MO) Alumnae

Member Number

Membership Category

Regular Member

Golden Life Member

Diamond Life Member

Last Chapter Where Grand Chapter Dues Were Paid

First Name *

Last Name *

Name at Time of Initiation

Only complete if different than name listed above

Initiation Date

Chapter of Initiation *

Address *

Street Number/name

City *

State *

Zip Code *

Phone *

If you are human, leave this field blank.

Delta Sigma Theta Sorority, Incorporated

Kansas City, Missouri Alumnae Chapter

P.O. Box 5272

Kansas City, MO 64112

Visit Delta Sigma Theta’s national website at:

Visit the Central Region’s website at:

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