Registration Form For Use by Members Only
THE DELTA KAPPA GAMMA SOCIETY INTERNATIONAL
CHI STATE CONVENTION
April 29- May 1, 2011
Hyatt Regency Sacramento
1209 L St., Sacramento, CA 95814
Please use a separate registration form for each participant.
PLEASE PRINT (Name for Badge)
LAST NAME FIRST NAME
ADDRESS CITY ZIP
PHONE ( ) CHAPTER AREA
***ALL CONVENTION ATTENDEES MUST PAY A REGISTRATION FEE***
Please enter the registration fee and check the meal functions you plan to attend.
REGISTRATION:
Early Registration Fee (before April 15) $50.00
Registration Fee (after April 15) $75.00
MEALS (meals must be ordered by April 15)
Luncheon Saturday, April 30, 2011 $40.00
Banquet (Dressy attire suggested) Saturday, April 30, 2011 $62.00
Breakfast Sunday, May 1, 2011 $28.00
NO REFUNDS AFTER APRIL 15, 2011 Total Enclosed $
Please specify SPECIAL NEEDS at meals (dietary restrictions, wheelchair access, etc.):
Check all that apply: Willing to volunteer:
____ Current Chapter President ____ 50 year + member ____ Registration
____ Current Area Director ____ First Chi State Convention ____ Information Desk
____ Past Chi State President ____ Speak Spanish ____ Hospitality
____ International Committee Member ____ Table Hostess
____ Chi State Officer ____ Greeter
______(Office) ____ Interest Session Hostess
____ Chi State Committee Chairman ____ Chi State Store
____ Chi State Committee Member ____ Credentialing
Please make checks payable to: DELTA KAPPA GAMMA – CHI STATE CONVENTION 2011Complete registration by returning this form and your check to the Convention Treasurer:
Carla Dunham
814 Black Walnut Way
Chico, CA 95973
530-899-8393
Before mailing please copy this registration and your check for your confirmation records.
Do not include funds for hotel reservations. Book Hotel Reservations by April 8th
Hyatt Regency Phone Reservations: 1-888-421-1442
Mention: Delta Kappa Gamma for the group rate discount
Online Hyatt Regency Registration (Open 1/11/2011)
https://resweb.passkey.com/Resweb.do?mode=welcome_ei_new&eventID=3094024&fromResdesk=true