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: 		 
Eary Bird Fee
postmarked before Oct 15th
Same Low Fee!
until November 2nd!
Full Conference - (Friday - Sunday)
$100 ($70 USD)
$100 ($70 USD)
Friday evening
$20
$20
Saturday Conference only
$55
$55
Saturday Dinner only
$40
$40
Sunday Conference only
$30
$30

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.

   
10.24.04