Registration
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CONTACT INFORMATION

Name:  
Address:    City:   
Prov/State:   Postal/Zip Code:     Country:
Home Telephone:   Email Address:
 
Fraternity/Sorority: University/College:
Collegian Alumnus/Alumna Fraternity Office?:

CONFERENCE INFO


Select conference session: 		 
Regular Fee
postmarked after Sept 25th
Full Conference - (Friday - Sunday)
$125
Friday evening
$20
Saturday lunch & session only
$60
Saturday semi-formal dinner only
$60

HQ Staff/Volunteers: We are looking for Faculty facilitators for sessions. Could you help?  Yes  No

MEALS

Do you require a vegetarian meal? Yes No
Do you have food allergies? Yes No

Please include any other suggestions or requirements in terms of meals: the more specific you are, the better we can cater to your needs.