EmailMe Form - 93rd Northern Province Council

Name *

First Last

Silhouette Attending

Silhouette Name

First Last

Phone *

### - ### - ####

Email *

Undergraduate/Alumni Chapter *

Financial With (select all the apply) *

Grand Chapter

Province

Local

Alumni Registration Description

Alumni registrations completed online includes a Paypal processing fee.

MTA Summer 24, Fall 24 and Spring 25, MEMBER'S REGISTRATION FEE WAS INCLUDED IN YOUR INTAKE FEE.

Registration-Alumni *

Undergraduate Registration Description

Undergraduate registrations completed online includes a Paypal processing fee.

MTA Summer 24, Fall 24 and Spring 25, MEMBER'S REGISTRATION FEE WAS INCLUDED IN YOUR INTAKE FEE.

Registration-Undergraduate *

Entree Choices

Please indicate your selections

Undergraduate Luncheon *

Closed Banquet *

Diamond Achievement Foundation Pinning Ceremony Breakfast *

Will you arrive in Troy to attend the Province Board Meeting?

Are you a Veteran or Active Duty with the U.S. Military?

Military Branch

Profession

Alumni Registration Information:

Undergraduate Registration Information:

***REGISTRATION PAYMENT CAN ALSO BE SUBMITTED VIA CASHAPP AT $1923kapsinp. PLEASE PUT 93rd NPC IN THE NOTES LINE WHEN SUBMITTING PAYMENT***

Registration and payment MUST be received no later than midnight.

***Upon submitting your registration, you will receive an email confirmation along with necessary hotel reservation information.***

Payment Acceptance Agreement *

I have read and accept the payment structure as stated above.

Forms of Payment *