DELTA PIONEERS WEB MEMBERSHIP FORM
Please note there are 2 STEPS: STEP 1: Sign into the Delta Pioneers website. Complete and Submit the Web Membership Form which will send your information to the Delta Pioneers National Office in Atlanta, GA. 
STEP 2: Sign in again to the website ( www.deltapioneersinc.com )
Click on the link below in the red box to pay your membership dues 
($15 per year-includes spouse) using the Square Delta Pioneers Online Store. 

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EMPLOYEE OR SURVIVOR
EMPLOYEE NUMBER
RETIREMENT DATE
SPOUSE
DATE OF EMPLOYMENT
FORMER DEPT #
FORMER STATION
ADDRESS
PHONE NUMBER   (Place X to indicate Home or Cell) 
CHAPTER PREFERENCE (see below)
EMAIL ADDRESS
MEMBERSHIP STATUS (Place X in one box)
COMMENTS
Last Name
First Name
Street Address
Street Address Line 2
City
State
Zip Code
Area Code
-
Phone Number
Renewing Member
New Member
If you wish to be included in local chapter activities, please select one of the following to denote your chapter preference:
ATL BOS CVG DFW DTW IAH LIT MCO MSY ORD RDU SLC
Please note: There are no dues exceptions based on age. 
The current requirement to join the Delta Pioneers is ( 1 ) year of consecutive service.
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STEPS TO USE A CREDIT CARD VIA THE WEB FOR MEMBERSHIP RENEWAL OR NEW MEMBERSHIP

STEP 1. Complete the Web Membership Form shown above.
HIT THE SUBMIT BUTTON  (This sends your information to the Delta Pioneers Office in Atlanta.)


​ Sign in again to the Delta pioneers Website ( www.deltapioneersinc.com )

STEP 2CLICK HERE to pay membership dues with a credit card using the Square processing via the 
Delta-Pioneers-inc.square.site. Complete the required information, Add to cart/Checkout/Place Order.

Your transaction is complete. Thank you for keeping your Delta Pioneers memembership active. 


mm-dd-yyyy
Home
Cell
AMOUNT TO BE CHARGED ($15 per year)
Please be sure all fields have been completed 
and that you have followed the examples where noted 
for the dates before hitting the Submit button.