June 2010 PCM Registration

Exit this survey

 

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1. Name

Name

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2. Attending as:

Attending as:   Chapter President Chapter Delegate (in place of Chapter President) Neo - Fall 2009/Spring 2010 Other Undergraduate - All other undergraduates Other Alumna - All other alumna National Board Member

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3. Which days will you be attending? (Please note: Chapter President and/or Delegates and Neos must attend both days.)

Which days will you be attending? (Please note: Chapter President and/or Delegates and Neos must attend both days.)   Both Days Saturday Only Sunday Only

4. Do you have any dietary needs?

Do you have any dietary needs?

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5. Current Hermana Status

Current Hermana Status   Active Undergraduate Inactive Undergraduate Active Graduate/Alumna Inactive Graduate/Alumna

6. Have you received your official Hermana certificate (typically given out during the convention after your initiation)?

Have you received your official Hermana certificate (typically given out during the convention after your initiation)?   Yes No