AF1 - Awards Fee Form

95TH REGIONAL CONFERENCE AWARDS FEE FORM
Return this form OR the form in the Registration Handbook and payment by February 25, 2025. Make chapter checks or money orders payable to: AKA – 95th Mid-Western Regional Conference. (Subject line – Mid-Western Regional Award Fee)

Send Form and Check To:

Soror Sherrye Cravens Crawford

Regional Pecunious Grammateus

P.O. Box 2741

Oklahoma City, Oklahoma 73101
Please check the appropriate box:*

Undergraduate Fee $50Graduate Fee $75
Chapter Name*
Chapter Address*

Street Address

Street Address Line 2

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Basileus Name *

First NameLast Name
Basileus Phone Number*
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Basileus Email Address*
example@example.com
Graduate Advisor Name*

First NameLast Name
Graduate Advisor Email*
example@example.com
Graduate Advisor Phone*
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Should be Empty: