Alpha Phi Alpha TIL Dues Payments -Square Gateway

Alpha Phi Alpha Fraternity, Inc. TIL Dues Payments To Chapter

Chapter Dues Payment Form (Square Gateway)
Current-Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
National-Late-Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Chapter-Late-Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Local Chapter Dues
Local Chapter Dues-Late
National-Dues-Amount
National-Dues-Amount-Late
Chapter Dues ${Local-Chapter-Dues}.00 After December 31, ${Local-ChapterDues-Late}.00
National Dues ${National-Dues-Amount}.00 After November 15, ${National-Dues-Amount-Late}.00
Full Name

First NameLast Name
E-mail

Confirmation EmailEnter Your eMail Address
Phone Number
Format: 000 000-0000.
Please check the Dues you are paying, the amount will automatically popuate. If you paying both then check both dues boxes.
Dues
Chapter Dues
Chapter Dues
National Dues
National Dues
Total Dues
Total Dues
Dues + Processing Fees
Credit Card Charge
The Processing fees are charged by the bank and the chapter does not benefit from these fees.

USDDescription

Alpha Phi Alpha Fraternity, Inc. TIL Dues Payments To Chapter