DELTA PIONEERS WEB MEMBERSHIP FORM
Please note there are 2 STEPS: STEP 1: Complete and Submit the Web Membership Form which will send your information to the Delta Pioneers National Office in Atlanta, GA. 
STEP 2: Hit your Back button on your computer until you return to this page. 
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. 

Home
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 DAY DFW DTW EWR FRA HOU LIT MCO MEM MSP MSY ORD PHX RDU SEA SLC
Please note: There are no dues exceptions based on age.
mm-dd-yyyy
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.)
STEP 1 is complete.

​After you Submit your information, please hit your Back button on your computer until you return to this screen, and proceed to STEP 2 to pay your membership dues.

STEP 2. CLICK HERE to pay membership dues with a credit card using the Square processing via the Square Delta Pioneers Online Store. 
Please note: If your browser does not take you over to this area (there have been some issues with Safari), please copy and paste the following link into your browser to get to the payment area. This will work with Safari.
https://squareup.com/store/delta-pioneers-inc
Click on either "Renewing Member" or "New Member" depending on which one applies to you. 
Select your preferred chapter, quantity (number) of years for membership dues, click "Add to Cart."
Review order, make any adjustments needed as to the number of years for membership dues being purchased, click "Checkout."
Complete the form with your full name, email address, phone number, and credit card information. This information is required to process your credit card payment. None of this information is retained in any computer, system, or file. 
Your credit card number is not sent to the Delta Pioneers.
Add any (optional) note to the merchant (which is the Delta Pioneers), click "Place Order" which will then charge your credit card for the annual membership dues. A receipt and separate "order confirmation" for your purchase will be emailed to you and a receipt and separate "order received" will be emailed to the Delta Pioneers.
​STEP 2 is complete.
mm-dd-yyyy
Home
Cell
AMOUNT TO BE CHARGED ($15 per year)
PLEASE NOTE: Hitting the Submit button sends your information to the Delta Pioneers Office in Atlanta.
(​STEP 1 is complete.)
After you Submit your information, please hit your Back button on your computer until you get back to this screen. Proceed to STEP 2 to pay your membership dues via the Square Delta Pioneers Online Store.
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.