Alpha Phi Alpha TIL Dues Payments -Square Gateway

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

Chapter Dues Payment Form (Square Gateway)
Date

MonthDayYear
Date
Chapter Dues $200.00 After December 31, $210.00
National Dues $150.00 After November 15, $160.00
Full Name*

First NameLast Name
E-mail*

Confirmation EmailEnter Your eMail Address
Phone Number*
Please check the Dues you are paying, the amount will automatically popuate the amount. If you paying both then check both dues boxes.
Dues*

Chapter DuesNational 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.

Amount Charged*

USDDescription

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