2026 Delegate's Meeting Registration Form
Please fill out the form carefully. This form is for financial Fellowmen who plan to attend the meeting.
Fellowman's Name
*
First Name
Last Name
Did you become a member in FY 25-26?
*
Please Select
YES
NO
Are you celebrating your 25th or 50th Anniversary in FY 25-26?
*
Please Select
YES
NO
E-mail
*
Mobile Number
*
-
Area Code
Phone Number
What chapter are you currently a member of?
*
GENERAL MEMBER - ATLANTIC
GENERAL MEMBER - FAR WEST
GENERAL MEMBER - GREAT LAKES
GENERAL MEMBER - MID ATLANTIC
GENERAL MEMBER - NEW ENGLAND
GENERAL MEMBER - NORTH ATLANTIC
GENERAL MEMBER - SOUTH ATLANTIC
GENERAL MEMBER - SOUTH CENTRAL
GENERAL MEMBER - INTERNATIONAL
ATLANTA GRADUATE
ATLANTIC REGION UG [ARU]
AUGUSTA GRADUATE
BALTIMORE COLUMBIA GRADUATE
BENEDICT COLLEGE [TIGER 4]
BIRMINGHAM GRADUATE
BOSTON/PROVIDENCE GRADUATE
BOWIE STATE UNIVERSITY [BULLDOG I]
BRIDGEPORT GRADUATE CHAPTER
BRONCO ALUMNI
CENTRAL JERSEY GRADUATE
CHARLESTON GRADUATE WV
CHARLESTON SC GRADUATE
CHARLOTTE GRADUATE
CHICAGO GRADUATE
CHEYNEY ALUMNI
CLARK-ATLANTA VIRTUAL CHAPTER
COASTAL TRI-COUNTY GRADUATE
COLUMBIA SC GRADUATE
DETROIT GRADUATE
DURHAM GRADUATE
GREAT DANE CHAPTER [UNIV. OF ALBANY UG]
GREENVILLE/SPARTANBURG GRADUATE
GREENSBORO GRADUATE
GRIFFIN CHAPTER [JOHNSON & WALES UNIV]
HAMPTON ROADS GRADUATE CHAPTER
HARTFORD GRADUATE CHAPTER
HORNET CHAPTER [DELAWARE STATE UNIV]
HOUSTON GRADUATE
HUDSON VALLEY GRADUATE
JOHNSON C SMITH ALUMNI
LONG ISLAND GRADUATE
LOS ANGELES GRADUATE
MIAMI GRADUATE
MIDWEST TRI-STATE GRADUATE CHAPTER
MIGHTY LION ALUMNI
MIGHTY LION CHAPTER (UG CHAPTER)
MISSOURI CITY TX GRADUATE
MONTCLAIR ALUMNI
MOREHOUSE GRADUATE VIRTUAL
MORGAN STATE UNIVERSITY [MOTHER BEAR]
NEW JERSEY GRADUATE
NEW YORK GRADUATE
NEW YORK UNDERGRADUATE [BIG APPLE UG]
NORTH CAROLINA A&T ALUMNI
NORTH CAROLINA A&T UG [AGGIE CHAPTER]
NORTH CAROLINA CENTRAL ALUMNI
NORTH TEXAS GRADUATE
NORTHERN JERSEY GRADUATE
NORTHERN JERSEY UNDERGRADUATE
NORTHERN MARYLAND GRADUATE
NORTHERN VIRGINIA GRADUATE
OHIO VALLEY GRADUATE
PHILADELPHIA GRADUATE
PIONEER CHAPTER [WILLIAM PATERSON UNIV]
PITTSBURGH GRADUATE
PRINCE GEORGE'S GRADUATE
RALEIGH GRADUATE
RAM CHAPTER [WINSTON-SALEM STATE UG]
RATTLER CHAPTER [FAMU]
RICHMOND GRADUATE
RUTGERS ALUMNI
SCREAMING HAWK ALUMNI
SHAW UNIVERSITY [BRUIN CHAPTER]
SOUTH CAROLINA STATE ALUMNI
SOUTH JERSEY GRADUATE
SOUTHERN MICHIGAN GRADUATE
STONE MOUNTAIN GRADUATE
TIGER 5 ALUMNI
TRI-COUNTY [PA] GRADUATE
TRI-COUNTY GRADUATE
TRIANGLE GRADUATE
UNC-CHAPEL HILL ALUMNI
UNC-CHARLOTTE ALUMNI
UNIV. OF PITTSBURGH [STALLION CHAPTER]
UNIVERSITY OF MARYLAND EASTERN SHORE [SCREAMING HAWK UG]
VIKING II CHAPTER [ELIZABETH CITY STATE UNIVERSITY]
VIRGINIA UNION ALUMNI
WASHINGTON DC GRADUATE
WEST VIRGINIA STATE ALUMNI
WESTCHESTER COUNTY NY GRADUATE
WINSTON-SALEM GRADUATE
YELLOWJACKET 2 [WEST VIRGINIA STATE]
What type of membership do you have for FY '25-'26?
*
Annual
Lifetime
Attendee type?
*
Executive Board Member
Directorate Staff
Regional Director
Chapter Delegate
Member
Hospitality Staff
Submit Application
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