On-Line Registration Form 2008 Convention

Eta Sigma Phi
81st Annual Convention
March 27 – March 29, 2009
On-Line Registration

Note: This On-Line Registration form can only be used if payment will be made on-line via Paypal.

Registration Form for Delegates

Today's Date (Enter Date in DDMMYYYY format):

from Chapter of (institution).

Name of Contact Person

Address

Zip Code City State

Phone Number

E-mail Address

Names of Delegates Attending

List Names Exactly As They Are to Appear on Delegate Badges and after each name indicate the delegate's preference for the Saturday afternoon field trip. Please use the letter codes below to rank your preferences 1 (highest)- 3 (lowest). Every effort will be made to give everyone their first choice but space is limited and seats will be assigned on a first come, first served basis. The choices are:

A = Memphis Brooks Museum of Art
C = National Civil Rights Museum (with Lorraine Motel)
G = Elvis Presley's Graceland

E.g., "John Doe A, C, G" is ranking the Art Museum first and Graceland last.

Delegates indicating no preference will be assigned randomly.

separate names with comma

Number of Vegetarian Meals

Total Number of Delegates Attending at $95 (after March 10, 2009)

N.B. There is no charge for one faculty chapter sponsor accompanying student delegates to the convention.

Total: $

Clicking on "Submit" sends Registration Information to Eta Sigma Phi. In order to PAY for these registrations, click on "Add to Cart," adjust Quantity to the correct number of Delegates, and then Proceed to Checkout.

NOTE: You are not officially registered until payment is made.

Please keep a copy of the completed registration form for your own records.

If you have any questions about this registration process, please contact:

Thomas J. Sienkewicz, Executive Secretary
Eta Sigma Phi
Department of Classics
Monmouth College
700 East Broadway
Monmouth, IL 61462
Phone: 309-457-2371
Fax: 815-346-2565
E-mail: toms@monm.edu