The AHEPAN - Spring 2012 - (Page 20)

EVENT REGISTRATION Delegate/Alternate or Guest Registration PLEASE USE ONE FORM PER PERSON Name ____________________________________________________ Chapter No. ________________ District No. ____________________ Address ___________________________________________________ City ____________________________________________________ State __________________ Zip Code __________________ Phone (____) _________________________ Fax (____) __________________________ Email __________________________ For Which Organization Events Are You Registering? Please check the appropriate box (one only). AHEPA Daughters of Penelope Guest Sons of Pericles Alternate Maids of Athena Guest I am registering as a : Delegate Membership No. ____________________________________ AHEPA Delegate/Alternate Fees $325 ($225 If purchased by June 30) $ ____________________ (Includes: Welcome Night, Greek Glendi, Grand Banquet & Ball, and Athletic Luncheon) DOP Delegate/Alternate $325 ($225 If purchased by June 30) $ ____________________ (Includes: Welcome Night, Greek Glendi, Grand Banquet & Ball and Athletic Luncheon) Non-Delegate/Guest $350 ($275 If purchased by June 30) $ ____________________ (Includes: Welcome Night, Greek Glendi, Grand Banquet & Ball and Athletic Luncheon) Join AHEPA Today for $50 (registration discount) SOP/MOA Delegate/Alternate $120 $ ____________________ (Includes: Welcome Night, Greek Glendi, Grand Ball and MOA/SOP Brunch) ***DOES NOT include Grand Banquet or Athletic Luncheon*** Checks payable to: AHEPA Supreme Convention Fees MUST accompany this form TOTAL $ ____________________ Mail to: AHEPA 1909 Q Street, NW Suite 500 Washington, DC 20009 I have enclosed Check No. ____________ In the amount of $ ____________ Charge my: VISA Master Card AMEX Card No. _____________________________________ Exp. Date ____________ Signature _________________________________________________________ Refund Policy Deadline Form and fees MUST be postmarked, faxed, or emailed by Thursday, June 30, 2012 Fax: (202) 232-2140 Email: ahepa@ahepa.org 20 the ahepan Spring 2012 Refund requests MUST be received in writing by Friday, July 1, 2012. If received by this date, a refund will be issued, less a $35 administrative fee. No refunds will be issued after July 1, 2012! www.ahepa.org www.ahepa.org http://www.ahepa.org http://www.ahepa.org

Table of Contents for the Digital Edition of The AHEPAN - Spring 2012

The AHEPAN - Spring 2012
Supreme President’s Message
AHEPA Family News
Mailbag
Answering the Call
AHEPA Family’s Capitol Hill Day Brings Foreign, Domestic Issues to Legislators
Excursion Leaves Lasting Impressions
Convention Form
Civic Responsibility
The Periclean
Housing
AHEPA Family Chapter News

The AHEPAN - Spring 2012

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