AGR Centennial Convention Registration Form


All fees must accompany this form unless you are the two prepaid delegates from your chapter. Fees are not refundable if notification of cancellation is received after July 24, 2004. Only individuals registered and badged may attend Convention events. Wives and guests must register to attend Convention events.

Transportation: Please make your own arrangements to Columbus, Ohio and to the hotel. Hotel and travel information will be sent to you upon the receipt of this form.
     
General Info
Office :
EmailAddress :
*
Phone (home) :
*
Phone (other) :
   
Chapter :
First Name :
*
Last Name :
*
First Name for Badge :
Street Address :
*
City, State, Zip:
 ,      *
     
Registration Fees
Before
After
May 1
May 1
Collegiate
$265
$290
Alumni
$285
$310
Adviser
$285
$310
Spouse/Housemother/Guest
$200
$200
Daily Fee
$75
$75
Children (no charge)**    
** Individual event tickets may be purchased.
     
My Registration Information
    
Please select the category that registration process that
applies to you and your guests.
   
I will register as a(n) :
My Chapter has previously paid my registration fee
I want to pay according to the number of days I attend :
 
 
Guest Information
    
Number of Adults Attending :
(not including kids)
Guest Names and type:
Children's Name(s) :
Corresponding Age(s) :