ESLAC 2026 Founders Day Ticket Purchase
Number of Tickets
*
Please Select
1
2
3
4
5
6
7
8
Ticket 1
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Ticket 2
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Ticket 3
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Ticket 4
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Ticket 5
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Ticket 6
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Ticket 7
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Ticket 8
*
First Name
Last Name
Email
*
example@example.com
Affiliation
*
Please Select
Member of Delta Sigma Theta Sorority, Inc.
Member of other Divine 9 Organization
General Event Attendee
Current Chapter
Please Select
ESLAC
Other
Current/Last Chapter of Affiliation
Are you a Delta Dear?
Yes
No
Do you need assistance with buffet meal service?
Yes
No
Do you currently hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Did you previously hold a State, Regional or National Leadership position?
Please Select
Yes
No
Position
Name of organization
Please Select
Alpha Phi Alpha Fraternity, Inc.
Alpha Kappa Alpha Sorority, Inc.
Kappa Alpha Psi Fraternity, Inc.
Omega Psi Phi Fraternity, Inc.
Phi Beta Sigma Fraternity, Inc.
Zeta Phi Beta Sorority, Inc.
Sigma Gamma Rho Sorority, Inc.
Iota Phi Theta Fraternity, Inc.
Member Information
Please Select
Officer
General Member
Position
Guest of
Do you have any dietary restrictions?
Please Select
Yes
No
Please list restrictions below
Please make sure your ticket number count matches the tickets purchased.
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Total Tickets Purchased
$
100.00
Quantity
Purchase
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