North Central Province Silhouettes of Kappa Alpha Psi Fraternity, Inc. Registration Form

North Central Province Silhouettes of Kappa Alpha Psi Fraternity, Inc.

Registration Form
6th North Central Province Silhouettes Council Meeting

March 20-23, 2025

Hyatt Regency McCormick Place

2233 S. Martin Luther King Jr Dr.

Chicago, IL 60616

Hostess Chapter: Calumet City- Lansing (IL) Silhouettes

Theme: Elevating Our Sisterhood
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Number of people attending*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Chapter Office(s) Held:*
Current Province Office(s) Held:*
Current National Office(s) Held:*
Chapter Affiliation*

Indianapolis (IN)East St. Louis (IL)Evergreen Park (IL)Calumet City-Lansing (IL)Richfield-Bloomington (MN)Member-at-Large
Other Pertinent Information: (Select all that apply)*

Executive BoardChapter DelegateWidowNone at this time
Food Allergy Restrictions:*

PeanutNutsMilkSoyNo Food Allergy RestrictionsOther
If selected "Other" in the above question, please indicate your food allergy restrictions:
Dietary Restrictions*
Registration and Payment Options: Please submit your payment via Zelle at: ncpsilhouettes@gmail.com or mail your check made out to, North Central Province Silhouettes to the NCP Treasurer, Silhouette Nadine Bonds, 6009 Margaux Lane, Indianapolis, IN 46220*
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Early Bird Registration (November 11, 2024- January 31, 2025)Province Business Meetings, Souvenir Book, Friday Luncheon Cruise on Lake Michigan at Navy Pier, Saturday Banquet, Province Gifts (Red Vegan Leather Tote Bag and Red Vegan Leather Bucket Bag)
$185.00

Regular Registration (February 1, 2025- February 28, 2025)Province Business Meetings, Souvenir Book, Friday Luncheon Cruise on Lake Michigan at Navy Pier, Saturday Banquet, Province Gifts (Red Vegan Leather Tote Bag and Red Vegan Leather Bucket Bag)
$200.00

Total

$0.00
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