The Ahepan Winter 2020 - 15
EVENT REGISTRATION
PLEASE USE ONE FORM PER PERSON
Na m e: _______________________________________ Cha p ter No. __________ Distric t No. ________
Ad d ress: ________________________________________________________________________________
City: __________________________________________ Sta te: __________ Zip Cod e: ______________
Phone: _____________________________________ E-Ma il: _____________________________________
REGISTRATION INFORMATION
I a m a m em b er of
O
AHEPA
O
DOP
I a m reg istering a s a
O
Deleg a te
O
Alterna te
Membership No:_______________________
O
Guest
PLEASE NOTE: EARLY BIRD PRICES APPLY IF PAID BEFORE JUNE 1, 2021
Fees
AHEPA Deleg a te/ Alterna te
$375 ($500 a fter June 1 or on site)
$ ______________
DOP Deleg a te/ Alterna te
$375 ($500 a fter June 1 or on site)
$ ______________
Non Deleg a te/ Guest
$475 ($500 a fter June 1 or on site)
$ ______________
Packages Include: Op ening Cerem onies, 99th Sup rem e Convention Anniversa ry Event, AHEPA Athletic Lunc heon, Greek
Nig ht a t the Ac rop olis Museum , AHEPA Fa m ily Aw a rd s Brunc h, AHEPA Event a t the Presid entia l Pa la c e, Gra nd Ba nq uet & Ba ll.
Make Checks Payable to:
AHEPA Sup rem e Convention
Fees MUST Ac c om p a ny this form
Only Send One Form Per Person
L
A
MILY SUPR
A FA
EM
EP
E
AH
CO
N
TIO
EN
NV
99TH
AN
NU
Remit to:
AHEPA
1909 Q Street NW, Suite 500
Wa shing ton, DC 20009
Fa x: 202-232-2140
Em a il: a d m in@a hep a .org
Add $10 if paying by credit card
$ ______________
Total
$ ______________
I ha ve enc losed Chec k No. _______ in the a m ount of $ ___________
Cha rg e m y O Visa O Ma sterCa rd O AMEX Billing Zip Cod e: ______
Ca rd No. ______________________________________________________
Exp ira tion Da te: _______________________ CVV: ________________
Sig na ture: _____________________________________________________
DEADLINE
Form s a nd fees MUST b e rec eived via m a il, fa x or em a il
b y Tuesday, June 1, 2021
NO REFUNDS WILL BE ISSUED AFTER JUNE 1, 2021
Plea se note tha t this form is for your c onvention reg istra tion package ONLY.
In ord er to b e sea ted a s a d eleg a te or a lterna te, your Cha p ter m ust ha ve
reported you by the April 15, 2021 deadline w ith the Cha p ter Deleg a te/ Alterna te
rep orting form . If you ha ve not b een rep orted , you w ill b e req uired
to p a y the g uest reg istra tion p ric e.
Need more information? Have Questions? Visit ahepa.org or call headquarters at 202-232-6300
www.ahepa.org
Winter 2020 ยท THE AHEPAN | 15
http://www.ahepa.org
The Ahepan Winter 2020
Table of Contents for the Digital Edition of The Ahepan Winter 2020
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The Ahepan Winter 2020 - No label
The Ahepan Winter 2020 - 1
The Ahepan Winter 2020 - 2
The Ahepan Winter 2020 - 3
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