Current member form

Please use this form to submit annual membership dues and contribute to the scholarship fund.

Member name*
Preferred email address*
Street address 1*
Street address 2
City, state, zip*
Phone number
Dinner
We are planning to have an in-person dinner and a virtual option to attend our ceremony. Our chapter will award four academic scholarships in 2024 We hope that our membership will continue to be generous in contributing to the BPM Epsilon Scholarship Fund. We hope you will consider donating to the scholarship fund.
Payment
Dinner
- $30.00
Active member dues
- $35.00 annual dues
Annual chapter dues
- $10.00 annual dues
Scholarship contribution
Total
$0.00

Dinner