New initiate form

Kappa Tau Alpha
School of Journalism
University of Missouri
Columbia MO 65211-1200

Fed. ID #43-6037162

Tel: 573.882.7685
umcjourkta@missouri.edu

The shipping fee for each mailing is $10. Requests for expedited shipping will be priced at cost.

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e.g. Frank Luther Mott Chapter, University of Missouri
e.g. Frank Mott, XXX-XXX-XXXX
e.g. email@school.edu
Type carefully. Names will appear on the membership certificates as they appear here. Indicate faculty (F) or Honorary (H). Other names are assumed to be students. Please put each name on a separate line and do not number them. The initiation fee is $35 per person.
e.g. MM/DD/YYYY
The first undergraduate top scholar award is free. Additional awards are $50 each.
The first graduate top scholar award is free. Additional awards are $50 each.
Top scholar medals are free.
Each additional medal costs $10.
All honor cords are $10 each.
Make checks payable to Kappa Tau Alpha (Fed. ID #43-6037162). Student checks cannot be accepted. University checks can be sent in U.S. Mail.
Provide above the name and address of the address to whom the shipment of certificates should be sent. (e.g. Name, Address, City, State, ZIP code) Before you hit submit, please print or save a copy of this page to use as your invoice.
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