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2011 State Leadership Conference Registration
2011 State Leadership Conference Registration
2011 State Leadership Conference Registration
State of Delaware
Name____________________________ ___________________________________
Last First MI
Address______________________________________________________________
_____________________________________________________________________
City State Zip
Day Phone: ______________________ Cell Phone: ___________________________
□Graduate Member = $125 □Graduate Member (65+) = $90 □Undergraduate Member = $75
□Amicae = $90 □Youth Auxiliary = $45
Registration includes workshops, conference materials, events and meals.
No onsite registration. Business attire is required for attendance.
Return this form with payment no later than Friday, March 25, 2011 to:
State of Delaware, 560 Peoples Plaza, #105, Newark, DE 19702
Make checks payable to: Zeta Phi Beta Sorority, Inc. – State of Delaware