North East Regional Convention April 11-13 2008

1. Registration

1. 1. Please fill out your contact information:

1. Please fill out your contact information: Name:
Chapter:
Email Address:
Phone Number:

2. Convention starts on Friday the 11th and goes through Sunday the 13th. What days will you be in Boston?

Convention starts on Friday the 11th and goes through Sunday the 13th. What days will you be in Boston?

3. Do you need housing?
Which nights?
Do you have special considerations that require that you have a mattress, or other accommodation?

Do you need housing? Which nights? Do you have special considerations that require that you have a mattress, or other accommodation?

4. Do you need to receive a travel stipend to afford coming to this convention?
How much would you need?

Do you need to receive a travel stipend to afford coming to this convention? How much would you need?

5. Do you have special dietary needs?

Do you have special dietary needs? Vegetarian

Vegan

Gluten intolerant

Nut allergy

Other

Other (please specify)

6. Suggested Donations of $5-100, when you arrive at the convention. This will help us cover costs like food, materials, transport and travel stipends for folks who need them. NO ONE WILL BE TURNED AWAY DUE TO LACK OF FUNDS.

How much can you pitch in to help cover the costs of the Convention?

Suggested Donations of $5-100, when you arrive at the convention. This will help us cover costs like food, materials, transport and travel stipends for folks who need them. NO ONE WILL BE TURNED AWAY DUE TO LACK OF FUNDS. How much can you pitch in to help cover the costs of the Convention?

7. Do you have other questions or concerns not already addressed in this registration form?

Do you have other questions or concerns not already addressed in this registration form?