Dinner with 12 Sisters Payment Form

First Name *

Maiden Name

Last Name * 🛈

Initiating Chapter/University *

Initiation Year *

Street Address *

City *

State/Province *

Zip/Postal Code *

Phone Number *

Email Address *

Event Location *

Dietary Restrictions *

Food Allergies *

Note: Dietary restrictions and food allergies will be accommodated to the best of a host’s ability. Since some events will be hosted in a restaurant or catered, a host cannot guarantee that food will not come into contact with allergens.

Tell your host something about yourself!

Optional Additions

You have the option to pay your international alumnae dues or join Life Loyal here in addition to your registration fee. For more information about international alumnae dues and Life Loyal and the programs they support, visit our website.

Please select your additional item option for international alumnae dues or Life Loyal. *

International Alumnae Dues ($25)

Life Loyal Dues ($299)

Life Loyal Dues: I am a 50-year member, and I was initiated in or before 1973. ($189)

I am already a Life Loyal member!

I have already paid my international alumnae dues for the current fiscal year! (08/01/2022-07/31/2023)

Not at this time

Reminder: Payments for event registration are non-refundable.