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Membership Enrollment Form

Please collect all Chapter data, including new member information, BEFORE completing the Membership Enrollment Form online.

Membership Enrollment Form

  • MM slash DD slash YYYY
  • Approximate date, if date unknown.

  • List Your Members

    Please add each member's information below. Hit the "+" button to add additional members.

    Member Name -- Name as it will appear on the certificate.
    Member Address -- Please use permanent address where our Pi Mu Epsilon Journal will find this member for the next year.
  • Member Name:Member Address:Member Email: 

  • Merchandise

  • Price: $150.00
    New Chapters Only. Includes charter fee, roll book, PME banner, one cord and one pin.
  • Price: $20.00
  • Price: $10.00
  • Price: $10.00
  • Price: $1.00
  • Price: $5.00
  • Price: $35.00
  • Price: $75.00

  • Pi Mu Epsilon T-Shirts

    Please select the number of PME T-Shirts desired for each size (small, medium, large and xlarge available).
  • Price: $10.00
  • Price: $10.00
  • Price: $10.00
  • Price: $10.00

  • Total Amount Due

    If you need a RUSH Certificate Delivery, see instructions below.
  • Price: $30.00
    Select this option if certificates are needed within 11 weekdays of placing order. Use a quantity of "1" for Rush delivery. Rush delivery is for certificates only, not merchandise.
  • $0.00
    You will receive an email confirmation shortly after your order has been received. An invoice will be emailed to you once your order has shipped.