2026 Michigan District Conference Registration Form

2026 Michigan District Conference Registration Form
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Membership Number (Do NOT list your Life Membership Number)
Chapter Key
College or University
If "Other", type what Chapter and/or District you are currently in
Please list any allergies or dietary restrictions (e.g. - nuts, seafood, cheese, etc.)

Registration Type

College Brother-Standard

$120.00

Alumni Brother-Standard

$165.00

Gym Shoes

Support our College Brothers by contributing $19.06 to wear gym shoes during the District Conference.

$19.06

Enter coupon

Subtotal

Tax

Total

- Please ensure your chapter president has submitted the Chapter Delegate Certification Form to the District (midistrictalphas@gmail.com) & Bro. Blair Ellison (bellison@southfieldalphas.org)
- Notice: All convention payments are processed through PayPal. As a result, a PayPal processing fee will be applied to each transaction.
- For technical support issues please contact Bro. Blair Ellison (bellison@southfieldalphas.org)

Payment Methods

Should be Empty: