EmailMe Form - 88th Northern Province Council

Name *

First Last Suffix

Kappa's Name *

First Last

Select Box (if applicable)

Widow

Phone *

### - ### - ####

Email *

Chapter *

Voting Status *

Chapter Officer *

Province Office *

Registration Description

Regular Registration: $185.00 + $5.83 processing fee.
Registration and payment MUST be received no later than May 9, 2020.

Late/On-Site Registration (Online Only): $205.00 + $6.43 processing fee.
Registration and payment WILL ONLY be accepted online and must be received no later than June 20, 2020. After which only On-site registrations will be accepted.

Regular Luncheon Only: $25.00 + $1.06 processing fee. (Postmarked by May 9, 2020)
Late Luncheon Only: $35.00 + $1.35 processing fee. (Online Only until June 20, 2020)

Regular Dinner Only: $45.00 + $1.65 processing fee. (Postmark by May 9, 2020)
Late Dinner Only: $55.00 + $1.95 processing fee. (Online Only until June 20, 2020)

Upon submitting your registration you will receive an email confirmation along with necessary hotel reservation information. *

Kappa Foundation Breakfast (Optional) *

Entree Choices

Please indicate your selections

Saturday Luncheon *

Saturday Dinner *

Province Keeper of Exchequer Notes

**Please Do Not Write In This Space**