Registration

19-21 April 2012
2nd Region Spring Meeting
Aberdeen Proving Ground, Maryland
Total Conference Fee: $125.00
Hotel Room Block at the Homewood Suites Click Here

*Credit card payment through Paypal required to complete registration on the next page.

* Required Field

* First Name:

* Last Name:

* Chapter Affiliation:

* Address 1:

Address 2:

* City:

* State:

* Zip:

* Phone:

(111-111-1111)

* E-mail:

Special Need:

* Arrival Date:

* Departure Date:

* Transportation to and from airport:

Yes No

If yes, please provide flight information:

* Attending Golf Outing on April 19:

Yes No

* Additional Guest at Presidents Dinner:

Yes No

Please Note: If significant other is attending Presidents Dinner on 20 April an additional fee of $50.00 will be required at the event.