Loyal Order Joining Form

Loyal Order Joining Form
Join the Loyal Order, our endowment program for the award-winning Kappa Alpha Journal. Your support will help the Order redirect resources to focus on our undergraduate members, and in turn, you will receive The Journal for life.
Name

PrefixFirst NameMiddle NameLast NameSuffix
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Initiation Chapter and School
Initiation Year

Loyal Order Membership

Note: Loyal Order membership is not tax-deductible as a charitable contribution.

$299.00 I was Initiated

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country