SILHOUETTES of KAPPA ALPHA PSI FRATERNITY, INC.
2018 EASTERN PROVINCE COUNCIL
Sheraton Norfolk Waterside
777 Waterside Drive
Norfolk, Virginia
April 6th - 8th, 2018
SILHOUETTE REGISTRATION FORM
Personal Information Membership Category
Name: (Last, First, M.I.) / ______National Officer_____ProvinceOfficer
_____ Chapter President
_____ Chapter Officer
_____ Chapter Delegate
_____ Alternate
_____ Silhouette
(Widow)
_____ Member-at-Large
Address
City State Zip Code
Telephone (H) Telephone (C)
E-mail Address
Silhouettes Chapter:
Current Office:
Past National Officer ______Position: ______, Date______
Past Province Officer ______Position______, Date______
Registration / Financial Silhouette / Amount Submitted
Early Morning Package (early bird) – January 20 - February 20, 2018 Postmark / $165.00
Rising Phoenix Package (regular) – Feb. 21-March 31, 2018 Postmark / $185.00
Dusk Divas Package (late/onsite) April 1-7, 2016 - cash or money order only / $200.00
Banquet Ticket (Kappa Sweethearts or Silhouettes Guest ONLY ) / $110.00
Silhouette Package includes: Registration Packet, Welcome Reception, Hospitality Suite, Silhouettes Business Meeting with Breakfast, Coordinator’s Reception, Banquet and Souvenir.
Special meal requirements: ______
EVENTS CALENDAR
I Will __ Will Not___ Attend Chapter PresidentsRoundtable: 1:00 p.m. – 3:00 p.m. Friday, April 6, 2018
I Will __ Will Not___ Attend Welcome Reception: 3:00 pm – 5:00 p.m. Friday, April 6, 2018
I Will __ Will Not___ Attend Breakfast (7:45 am-8:45am) Business Meeting: (9:00am - 12:00 Noon) Saturday, April 7, 2018
I Will __ Will Not___ Attend Silhouette Hospitality Lounge: 1:00 pm - 4pm Saturday, April 7, 2018
I Will __ WillNot___AttendCoordinators Reception/Silhouettes Banquet: 6:00pm - 9:00pm, Saturday, April 7, 2018
Payment Information: Total Amount enclosed $ ______Please make check/money order payable to: Silhouettes Chesapeake/Virginia Beach.
You will receive confirmation of your Registration to the email address provided on your Registration Form within 7 days of receipt. Requests for refunds received in writing before March 20, 2018 will be assessed a $25.00 handling fee. No refunds after March 20, 2018.
Please Send Completed Registration Form and payment to: Silhouette Johne Ewell
EPS RC
7 Collinwood Circle
Hampton, VA 23666-1803