2019 General Member Reactivation Remittance Form-2026

1. Click ‘Get Form’ to open the 2019 General Member Reactivation Remittance Form in our platform's editor.
2. Begin by entering your personal information. Fill in your first name, middle initial, last name, and financial number (if applicable) in the designated fields.
3. Next, provide your address details including street address, city, state, ZIP code, email, cell phone, home phone, and country. Ensure all information is accurate for effective communication.
4. In the 'Previous Information' section, list any names previously used along with your chapter of initiation and year as well as your last affiliation and year. This is crucial for reactivation.
5. Select the appropriate payment option for the reactivation fee and COIP assessment. Choose either 'Reactivation fee only' or 'Reactivation fee and COIP assessment' based on your eligibility.
6. Finally, complete the payment method section by providing details for money order, certified check or credit card. If using a credit card, ensure to include provider name and expiration date.

Start filling out your form today for free using our platform to ensure a smooth reactivation process!