80th Province Council Registration

80th Province Council Registration - Senior Kappa
Early Registration (January 12-February 15)

Regular Registration (February 16-March 15)

Late Registration (March 16-March 27)

Information entered will be used on your registration badge and email communications. Please make sure all info is accurate!
Legal Name of Registered Brother*

First NameLast Name
E-mail*
Email must be accurate. We will use this email for direct communication to you.
Phone Number*
Please enter a valid phone number.
Membership Number*
Enter your 8-digit membership number; If yours is 7 digits, enter a 0 before your number.
Select Chapter*
Chapter Position*
Are you attending the Senior Kappa Reception?*

YesNo
Will your Silhouette be attending?*

YesNo
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Province Council Registration - Senior Kappa
$220.00

Total

$0.00

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80th Province Council Registration - Senior Kappa