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Annual Convention
95th Convention March 24-26, 2023
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» Registration for Annual Convention
Registration for Annual Convention
Registration: 95th Annual Convention in Monmouth, Illinois
Today's date (enter date in DD/MM/YYYY format):
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Registration for (chapter name):
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Registration for (institution name):
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Name of contact person:
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Email address of contact person:
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Phone number of contact person
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Address, for receipts, as necessary
Names of delegates attending and preferred pronouns
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Please separate each name with a comma.
T-shirt sizes (include amounts of each size) for all delegates including chapter advisor:
TOTAL number of delegates attending, including chapter advisor:
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Approximate arrival date and time:
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Approximate departure date and time:
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Dietary restrictions
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None
Vegetarian
Vegan
Gluten-free
Other
Other
TOTAL @ either: $90.00 each by check; $95 by PayPal; $100 after March 6
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NB: Registration is free for one faculty sponsor, provided registration is completed by March 6.
The fee includes a PayPal surcharge.
After submitting this form, proceed to the Eta Sigma Phi store (the "Regalia" page) and look for "Annual Convention Registration" to make your payment.
Registration will not be complete until you have made your payment.
Registration fees are not refundable.
You should receive a copy of this form via email. If you do not, please check your junk mail folder. If that fails, the Executive Secretary can forward a copy of the form to you. The Executive Secretary is Panagakos, Katherine Panagakos (katherine.panagakos@stockton.edu).
If you are human, leave this field blank.
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