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ALD Membership Order Form
Place your order for Alpha Lambda Delta membership certificates and honorary member certificates here. This form is for use by chapter advisors or officers only, on behalf of a campus chapter. It is not to be used by individual students to request a membership certificate.
To ensure timely delivery, please submit your order at least TWO WEEKS PRIOR to your initiation date.
Name of your institution
*
Input the name of your institution exactly as it should appear on your membership certificates.
Your chapter's initiation date
*
MM
/
DD
/
YYYY
This is the date that will be printed on your membership certificates.
Shipping Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Please input a valid shipping address where the certificates should be sent. Please do not submit an off-campus address; ALD will not ship certificates to an off-campus address.
Name of person placing this order
*
First
Last
Contact E-mail
*
Contact Phone
###
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###
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Number of students invited to join Alpha Lambda Delta
*
Number of new, dues-paying student members
*
Number of new honorary members
Number of new dues-waived student members
Number of lapel pins requested
New Members
Please input your list of new members and their email addresses into the space below, or use the "Upload file" button to upload a text file, Word document, or spreadsheet containing your new student members' names & email addresses.
Please make sure to format names in STANDARD FORMAT - John Doe; Jane Roe; Mary Jones. Do NOT use Last/First format: Doe, John; Roe, Jane; Jones, Mary. Do NOT use all caps - capitalize the names as they should appear on the certificates.
New members
Input names in standard format (First name followed by last name, no punctuation). Please put each name on a different line. Add EMAIL ADDRESSES in a separate column if you are allowed to share them.
OR File Upload
Upload a text file, Word document, or spreadsheet containing your new members' names. Add EMAIL ADDRESSES in a separate column if you are allowed to share them.
Honorary members
OR File Upload Honorary Members
Upload a text file, Word document, or spreadsheet containing your honorary members' names exactly as it should appear on the certificate. You may include pre- or post-nominal titles like Dr. or Ph.D., etc. Also include an email address for each honorary name.
By submitting this form, your institution is responsible for $30 per member name. An invoice will be sent with your certificate shipment.*:
*
We agree to pay $30 per new member.
Notes for ALD Headquarters