2026 Michigan District Conference Registration Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Membership Number (Do NOT list your Life Membership Number)
*
Chapter Key
*
Please Select
005-Epsilon
041-Alpha Upsilon
103-Gamma Lambda
230-Epsilon Upsilon Lambda
267-Eta Nu Lambda
283-Theta Zeta Lambda
316-Epsilon Eta
322-Epsilon Xi
333-Zeta Beta
335-Zeta Delta
393-Theta Tau
402-Iota Epsilon
517-Iota Rho Lambda
522-Iota Chi Lambda
527-Kappa Delta Lambda
545-Kappa Psi Lambda
748-Pi Upsilon
755-Rho Delta
805-Tau Kappa
830-Sigma Delta Lambda
College or University
*
Please list any allergies or dietary restrictions (e.g. - nuts, seafood, cheese, etc.)
Registration Type
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( X )
College Brother-Early Bird
$
110.00
Alumni Brother-Early Bird
$
150.00
Gym Shoes
Support our initiative by contributing
$19.06
to wear gym shoes during the District Conference.
$
19.06
Please ensure your chapter president has submitted the
Chapter Delegate Certification Form
to the
District (midistrictalphas@gmail.com) & Bro. Blair Ellison (bellison@southfieldalphas.org)
Notice: All convention payments are processed through PayPal. As a result, a PayPal processing fee will be applied to each transaction.
For technical support issues please contact
Bro. Blair Ellison (bellison@southfieldalphas.org)
Payment Methods
Submit
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