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KAPPA ALPHA PSI FRATERNITY, INC.
SOUTHEASTERN PROVINCE

C. RODGER WILSON LEADERSHIP CONFERENCE
AUGUSTA, GA

Friday & Saturday, October 20-21, 2006




Chapter *
Email PLEASE NOTE, YOUR CONFIRMATION AND RECEIPT WILL ARRIVE AT THIS EMAIL ADDRESS

Undergraduate Chapters are required to register five (5) Brothers:

  1. Polemarch
  2. Keeper of Records
  3. Keeper of Exchequer
  4. Advisor(s) of Undergraduate Chapter
  5. Guide Right Chair
  6. ALL Recent Membership Intake Participants (Fall 2005 & Spring 2006 Neophytes)
    (add names below)
UNDERGRADUATE CHAPTER
REGISTRATION FORM

Registration Fee ($25.00 per Undergraduate Brother)

 Names of Brothers AttendingOfficer(s)FEE
1. 25.00
2. 25.00
3. 25.00
4. 25.00
5. 25.00
6.
7.
8.
  TOTAL:


Names of Neophytes Attending

 

 

 

 

 

 

 

 

 

 

 



 
 
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