Province VIII Spring 2009 Conclave Registration Form Hosted by

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					                       Province VIII Spring 2009 Conclave Registration Form
                                         (for National Officers, Out-of-Province Guests, and Grads)
                                          Hosted by Beta Chi Chapter

Date: March 27th and 28th

Location:         Des Moines Quality Inn and Suites
                  929 3rd Street
                  Des Moines, Iowa 50309
                  Phone: (515) 282-5251
                  Rooms will be blocked off until February 26th under Kappa Psi.
                  Room rates will be $89.99 per night.

Registration Fee: $60 by February 15th
                  $70 after February 15th                              All checks payable to Kappa Psi.

Contacts:         Bridget Scoville and Andrew Swartz
                  bxconclave09@gmail.com

Please return the registration form to:    Kappa Psi
                                      Drake University
                                      2507 University Ave.
                                      Des Moines, IA 50311
~Directions to the hotel and transportation information from the airport will be sent out one month prior to
conclave.

(Detach here and submit the bottom half of this form to the above address)
********************************************************************************************************

Name:________________________________________________________________________

Address:_______________________________________________________________________

Email Address:_________________________________Phone Number:____________________


         Yes, I will be attending the Province VIII Spring Conclave

                  My T-Shirt size is (please circle):                         M       L       XL      XXL

                  My meal choice is (please circle):                               Vegetarian Lasagna             Pork Chop

                                                                       Chicken Marsala                      Filet Mignon

         No, I will not be able to attend the Province VIII Spring Conclave
                       Province VIII Spring 2009 Conclave Registration Form
                                                      (for Beta Chi Alumni)
                                          Hosted by Beta Chi Chapter

Date: March 27th and 28th

Location:         Des Moines Quality Inn and Suites
                  929 3rd Street
                  Des Moines, Iowa 50309
                  Phone: (515) 282-5251
                  Rooms will be blocked off until February 26th under Kappa Psi.
                  Room rates will be $89.99 per night.

Registration Fee:          $60 by February 15th
                           $70 after February 15th                  All checks payable to Kappa Psi.

Contacts:         Bridget Scoville and Andrew Swartz
                  bxconclave09@gmail.com

Please return the registration form to:                     Kappa Psi
                                                      Drake University
                                                      2507 University Ave.
                                                      Des Moines, IA 50311
~Directions to the hotel and transportation information from the airport will be sent out one month prior to
conclave.

(Detach here and submit the bottom half of this form to the above address)
********************************************************************************************************

Name:________________________________________________________________________

Address:_______________________________________________________________________

Email Address:_________________________________ Phone Number:____________________


         Yes, I will be attending the Province VIII Spring Conclave

                  My T-Shirt size is (please circle): M L XL XXL

                  My meal choice is (please circle):                          Vegetarian Lasagna           Pork Chop

                                                                 Chicken Marsala                    Filet Mignon

         No, I will not be able to attend the Province VIII Spring Conclave

         I would like to make a donation to the Spring Conclave fund in the amount of $________.