Phi Sigma Iota Merchandise Order Form
  Quantity Cost
Best News: Induction fee covers first 3 years of membership. New members don't owe dues until their 4th year of membership.    
Annual Dues Renewal _____ $20
Optional Payment for next three years (save $5) _____ $55
Best Deal –-  This once-in-your-lifetime-payment covers all future National Dues, supports the Society and its aims, and insures your active status and privileges for life. 
Lifetime Membership _____ $130
The Society's Insignia Key _____ $15
The Society's T-shirt*, circle size     S     M     L     XL __________ _____ $20
The Society’s Polo shirt, circle size    S     M     L     XL    XXL _____ $25
PSI Graduation Sash _____ $50
PSI Graduation Collar _____ $50
PSI Graduation Cords (one gold and one purple) _____ $15
PSI Graduation Tassel _____ $7
Lifetime subscription to  The Forum  (for non-members) _____ $75
One-year (2 issues) subscription to  The Forum  (for non-members)  _____ $ 5
Window Decals (set of 3) _____ $ 5
Contribution to PSI Scholarship Fund** _____ $________
Merchandise Shipping and Handling 
$5
Total Contribution $____________

*Please specify "crest" or "key" T-shirt
**Contributions are tax-deductible to the extent allowed by law

Make check payable to PSI International
Please fill out form completely

Name __________________________________________ SS#______________________
Name when initiated (if different from above)___________________________________
Address __________________________________________________________________
City ______________________________________ State ________ Zip ______________
Phone ___________________  Email __________________________________________
Institution where elected _______________________________________ Year ________
Name/Address of other members you know ____________________________________
_________________________________________________________________________

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Phi Sigma Iota / World Language Education, CPR 107

University of South Florida
Tampa, Florida 33620

4/13/07