Registration Form—Due March 5th
Name__________________________________________________ Year of Initiation_____________
Friday Cocktail Reception #_______ X $10=_______
Saturday Dinner/Dance #_______ X $65=_______
Stadium Cups #_______ X $5=_______
Tee Shirts #_______ X $15=_______ Sizes___________________
Make check payable to: Alpha Chi Omega
Mail to: P.O. Box 132, Waverly, AL 36879
The following events do not involve a charge but we need an estimate of attendees.
Saturday Chapter Room Tour ________ yes ________ no
Campus Tour ________ yes ________ no
If you were initiated in 1987 or earlier and have NOT received a 25 year pin, please indicate whether you
would like to receive it at the Saturday morning event or have it included in your welcome packet.
________ Saturday morning _________ Welcome packet
I can’t wait to see everyone at our celebration.
Talitha Stark Smith