EmailMe Form - Northern Province CRWLC

Profession/Major (UG) *

Name (First, Last) *

Phone *

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Email *

Confirm

Northern Province Undergraduate/Alumni Chapter *

Other Province

Registration Fee:

Registration fee for Fall 2019/Spring 2020 MTA Initiates attending the CRWLC are waived, as they were included in the MTA initiation fee. *

IMPORTANT NOTE: You must register by June 16, 2020 to be in the Kappa Block - The rate is effective July 8-13, 2020.

Financial With (select all the apply) *

Grand Chapter

Province

Local

Forms of Payment *

Payment Acceptance Agreement

Payments must be paid in order to be registered. Late Registration begins May 10, 2020 afterwards fees increase $5.00 for both undergraduates ($20) and alumni ($30). After June 13th brothers will only be able to register online or onsite. *

I have read and accept the payment structure as stated above.