Sigma Theta Tau International
550 W. North Street
Indianapolis, IN 46202

ATTN: Member Services Department

I am requesting dual membership in ________________________________ Chapter of Sigma

Theta Tau International at the __________________________________________ School of Nursing.

I am currently an active member of ________________________________ Chapter,
number ________________________ .

Enclosed is a check for $ ___________________ to cover the additional chapter fees plus $5.00 for the processing fee.  The additional chapter fee may be calculated by subtracting the $45.00 international fee from the amount listed in the current Directory of Chapters, Renewal Fees, Dual and Transfer Procedure (use the larger amount if two are indicated), by contacting the chapter officers, or by calling Member Services at (888) 634-7575.

I understand that I am required to pay only one international fee, renewal fee for each chapter and send a $5.00 processing fee to maintain active dual membership.  Sigma Theta Tau International will send me my renewal notices yearly.

Name :  _________________________________________________________

Address :  _______________________________________________________

_______________________________________________________

Home Phone : ____________________________________________________

Work Phone :  ____________________________________________________

E-mail Address :  __________________________________________________

Date :  __________________________________________________________
 

DUAL MEMBERSHIP: (D) Members may maintain active membership in two or more chapters by paying one international fee, local fee for each chapter and $5.00 processing fee.  Dual membership is requested through International Headquarters.

If you have a copy of Image: Journal of Nursing Scholarship or Reflections, please list the numbers that appear above your name on the mailing label, or include the mailing label.

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