Centennial Registration

Zeta Chapter Centennial Registration

Thank you for your interest in attending our Centennial Celebration. To reserve your seat, please fill out the information below.

* Prefix

* First Name

* Last Name

* Address 1

Address 2

* City

* State

* Postal Code

* Cell Phone

Business Phone

Fax

* Email Address

* Are you a member of the fraternity?

Chapter?

* Are you a Zeta Chapter Member or Alum?

* Include my contact information on lists distributed to other attendees.

Yes

* Days Attending

Friday

Saturday

Sunday

* Meal Preference

Special Requirements

* Please select your registration option.

College Brother/Regular Registration (includes Ladies and all other college students)-$65.09

Alumni Brother Registration (Non-College Brothers)-$219.09

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