Form D: NAASC Chapter Assessment 
Please complete the form in its entirety.
Sign in to Google to save your progress. Learn more
Email *
Chapter Name: *
Chapter President: *
Name of Officer Completing Form: *
Office Held: *
Chapter Mailing Address:
City, State, Zip:
Chapter Email Address: *
Instructions
1. Determine the number of dues-paying members as of June 30th of the previous fiscal year. 2. Determine the amount for your chapter’s assessment as determined by line “A” below.  
Chapter Assessment Payment Scale
Use the following scale to determine your chapter’s assessment: 1 to 7 members and New Chapters: $35, 8 to 25 members: $75, Over 25 members: $100,
Number of dues-paying members as of June 30th: *
Remit your check with this form. All chapters should return this form by September 30th to:
National Alumnae Association of Spelman College
Attention: Financial Secretary
P. O. Box 42828
Atlanta, Georgia  30311-0828
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy