Chapter Registration Form

Sigma Zeta 2002 National Convention

 

      Chapter: __________________________________

 

      School:     __________________________________

 

      Address:   __________________________________

 

                        __________________________________

 

                        __________________________________

 

      Chapter Advisor/Contact person:        __________________________________

 

                                                Phone:         __________________________________

 

                                                E-mail:         __________________________________

 

      Number attending: _______ students and _______ faculty for a total of _____.

                                   

                                    (Registration fee is $25.00 x number attending): Total: $_______

 

      (Please make checks payable to Sigma Zeta)

 

      Planned arrival time at Messiah College: ______ am/pm on ___________ (day)

 

      Field trip choices:                                   Number Participating                     

 

1.                          Shenk’s Wildflower Preserve                     _______

 

2.                          Gettysburg                                                     _______

 

3.                          Whitaker Center                                          _______

 

4.                          Canoe/kayak trip                                          _______

 

5.                          Hershey                                                         _______

 

      Mail this form and payment by March 20, 2002 to:      Angela Hare: Box 3041

                                                                                                Messiah College

                                                                                                One College Avenue

                                                                                                Grantham, PA 17027