Omega Psi Phi Fraternity, Inc

72nd Ninth District Meeting

 

 

 

April 9-12, 2009
Host Chapter: Rho Omega
Shreveport, Louisiana
Arkansas - Louisiana - Oklahoma - Texas

  ONLINE EARLY REGISTRATION FORM


(Note: A separate form must be completed for each Brother)

Control Number: Email:
Current Chapter: Location:
First Name: Last Name:
Home Address: City:
State: Zip:
Home Phone: Work Phone:
Chapter of Initiation: Initiation Date:
Quette Name: Child(ren)'s Name:


Hilton Shreveport
104 Market Street
Shreveport, LA 71101
Phone: (318)629-4458


Early Registration Postmark Deadline: Sunday, September 30, 2008
Note: Please maintain a copy of this form for your record.
Voting Status: (Select One)
Description Options Quantity Total
Basic Pre-registration fee includes (Souvenir Portfolio, Souvenir Booklet, Admission to Undergraduate Luncheon, Life Membership Luncheon, Marchdown Competition, Founders Banquet and Founders Dance.)    add
Quette Pre-registration fee ($110.00: includes Souvenir bag, 1-Undergraduate Luncheon Ticket, 1-Founders Banquet Ticket, admission to the Marchdown Competition and Family Picnic.)       add
Additional Founders Banquet and Dance Ticket @ $35.00 each    add
Additional Undergraduate Lunch Ticket @ $30 each       add
Golf @ $75 per player    add
Bowling @ $20 per player       add
Tennis @ $20 per player       add
Pool @ $20 per player       add
3-on-3 Basketball @ $35 per team       add
Subtotal =
Service Fee =
          Total =

All entries using this online registration will be charged a service fee.

© 2008 Ninth District - Omega Psi Phi Fraternity, Inc. All Rights Reserved
Email: District Info | Email Webmaster: Brother Marchette Gulley