IB 364
7/08
(ES)
DELTA OMICRON
INTERNATIONAL
MUSIC FRATERNITY
Chapter Payment Form
Use this form for all chapter
payments. Make checks to Delta Omicron
Fraternity. All payments should be sent
directly to the Executive Office: Julie
H. Wright, Executive Secretary,
CHAPTER
______________________________________________________________
NAME & CONTACT
INFORMATION FOR REPORTING OFFICER:
NAME &
OFFICE__________________________________________________
MAILING
ADDRESS_______________________________________________
_________________________________________________________________
PHONE
__________________________________________________________
EMAIL ADDRESS
_________________________________________________
Payments: Please indicate the amount of payment for the
specific fee or purchase.
National Fees:
|
Annual National Dues ($30 per member) Attach IB 368 |
____________________ |
Due: October 31 |
|
Optional Life Membership Dues ($300) Attach IB 314 |
____________________ |
|
|
Service Fee ($25.00) |
____________________ |
Due: October 31 |
|
Founders Day Pennies ($.99 per member) |
____________________ |
Due: April 1 |
|
Endowment Investment ($3 per member) |
____________________ |
Due: April 1 |
|
Conference Investment ($200 per chapter) |
____________________ |
Due: April 1 |
New Member Fees:
|
Prospective Member Fees ($20 x ____PMs) Attach IB 437 |
____________________ |
Due following Pledge Ceremony |
|
Initiation Fees ($70 x _____PMs) Attach IB 337 per PM |
____________________ |
Due 2 weeks before Initiation |
Other:
|
Star of Delta Omicron ($12.00 each) Attach IB 378 |
____________________ |
Due: March or April |
|
Senior Honor Pin ($27.00 each) Attach IB 372 |
____________________ |
Due: February or March |
|
Supplies Order – Attach IB 308 |
____________________ |
|
|
Jewelry Orders – Attach IB 336 |
____________________ |
|
|
TOTAL ENCLOSED: |
____________________ |
|
Mail to Executive Secretary:
Julie H. Wright