Collegiate Registration Form
After filling the details click on the SUBMIT button
*
indicates required fields
*
Name:
*
Street Address:
*
City:
*
State:
*
Zip Code:
*
Email:
Phone Number:
*
Chapter:
*
School:
*
T-Shirt Size:
XS
S
M
L
XL
XXL
XXXL
*
Are you a Delegate?:
Yes, I am a delegate
No
Hotel Confirmation Number:
If special accommodations are needed please list:
After filling the details click on the SUBMIT button to begin PAYMENT on the paypal website by selecting the CONTINUE link ABOVE the credit card LOGOS
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