MN/WI Presidents and Advisors Meeting Registration

Minnesota/Wisconsin Presidents & Advisors Meeting

PAYMENT INFORMATION

Collegiates ....................................................................... $40

Alumnae .......................................................................... $50
Membership Classification *

Collegiate Alumnae
Member Number *
Chapter Name *
Chapter Role *
Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Primary Phone Number *

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
E-mail *
My Products (Price Includes Collegiate & Alumnae)
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Collegiate $ 40.00

Alumnae $ 50.00

Total $ 0.00
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