Life Membership Application

Graduating Seniors, Alumni and Honorary Members of Tau Beta Sigma are eligible for Life Membership. The Life Membership fee is $650, payable in full.

Life Membership grants the following privileges:
Receive a Tau Beta Sigma Life Membership Card, Certificate and Pin
Receive a current year's membership in the Tau Beta Sigma Alumni Association
Receive an online subscription to The PODIUM

Donation Amount:

$ 650.00

Select Payment Method

Offline Donation
Authorize.Net - eCheck
Authorize.Net - Credit Card

Recipient Information

Recipient's Full Name

Recipient's Maiden Name (if applicable)

Address

Address 2

City

State

Zip Code

Home Phone

Cell Phone

Recipient's Email Address

Occupation

Former Chapter

College / University

Graduation Date

Year of Initiation

Yes No

Who is the gift from and where should it be shipped?

Billing Information

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $650.00