Thank you for your interest in Alpha Chi Omega’s Life Loyal program. Please provide the following information below to join Life Loyal yourself
or to sponsor another member in the Life Loyal program.
If you wish to purchase multiple Alpha Chi Omega Life Loyal memberships, you will need to complete separate registration forms for each individual you are sponsoring. Questions about the program may be directed to 317-579-5050 or email@example.com.
SECTION 1: PURCHASER INFORMATION
SECTION 2: NEW LIFE LOYAL MEMBER INFORMATION
If purchasing for SOMEONE ELSE, please complete this section with the AXO member’s information. Once complete, proceed to Section 3.
If purchasing for YOURSELF, please check the box and complete this section.
*Initiated Chapter/School Name:
Ship the Life Loyal membership materials to:
SECTION 3: PAYMENT INFORMATION
You may pay online by choosing a payment option below. Payments made to the Alpha Chi Omega Fraternity, Inc. are not tax-deductible.
Alpha Chi Omega members initiated on or after 1965 are eligible for a reduced membership price. Price change has been reflected in the billing information below.
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