Sign Up for The Loyal Order

You will be surprised to learn that the one-time cost of membership is only $299. If you prefer, you may choose to make twelve convenient monthly installments of $29 each. (*A small processing fee has been added to each installment to cover the additional handling costs involved.)

Become a charter member and receive this FREE GIFT. (*Available only to the first 1,000 Loyal Order members.)

Note: The Loyal Order membership is not tax deductible as a charitable contribution.

First Name: Middle Name: Last Name:
Preferred Name: Name as you would like it to appear on membership card:

School or Chapter: Initiation Year:

Home Address:
Address line 2:
City: State: Zip Code:
Email Address:
Telephone:

Payment Information:

There are two payment options for Loyal Order membership. Please select below.

Full payment ($299)
Partial payment (12 monthly installments of $29 charged to my credit card.)

Sending as a gift from

Credit Card Information:
Visa
Mastercard
Name as it appears on card: Card Number (16 digits with no spaces):
Expiration Date:


 

(It may take a moment to process this form. Please be patient.)

Feel free to contact TC McCoy, at tmccoy@ka-order.org with any questions about The Loyal Order Program.  
 
 

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