55th Middlesouth Regional Conference | Middlesouth Region Chi Eta Phi

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Chapter

Please Check All Applicable Boxes. For "Regional Officer" or "National Officer," please fill in the corresponding space with which office you hold.

Regional Officer

Regional Position:

National Officer

National Position:

Graduate Member

First Time Attendee

Beta Member

Member-at-Large

Nurse Practitioner

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List Any Food Allergies:

**Please Note: While we will attempt to accommodate dietary restrictions, we cannot guarantee that foods served at the event will be free of the listed allergens. It is up to each member who has a food allergy to determine whether or not the food is free of known allergens by inquiring directly with the banquet food provider and/or food servers.

Special Accommodations:

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Registration Options

Full Registration - In-Person Graduate : $350

(Includes: Souvenir bag, Leadership Workshops, Educational Workshops/Lunch, General Plenary Sessions, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, Apollo Night Event, Prayer Breakfast)

Plenary Registration - In-Person Graduate : $275

(Includes: Souvenir bag, Leadership Workshop, General Plenary Session, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, Apollo Night Event, and Prayer Breakfast)

Full Registration - In-Person Beta : $100

Plenary Registration - In-Person Beta : $25

(Includes: Souvenir bag, Leadership Workshop, General Plenary Sessions, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, Apollo Night Event, and Prayer Breakfast)

Virtual Attendance Graduate : $150

(Includes: Souvenir bag/gifts, Grand Opening, Leadership Workshops, Educational Workshops, General Plenary Sessions, Beta Plenary Session, Mary Garnett Awards & Scholarship Luncheon, Electronic Workbook/Book of Reports, Shipping Postage)

Virtual Attendance Beta : $50

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Support Chapter Event - Friday, March 19, 2021 : $45

Painting with a Twist @ Westin

Chapter Event - Additional Tickets: $45

Please indicate how many extra tickets you would like for this event

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Harlem Meets Houston - A Night At the Apollo, Saturday, March 20, 2021

Please check if you will attend/(No extra charge for registered members)

Harlem Meets Houston - (Non-Members, $40)

NOTE: Only 1 invited guest per member; guest must be negative for COVID-19 via PCR test within 7 days of event.

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Prayer Breakfast - Sunday, March 21, 2021

Please check if you will attend/(No extra charge for registered members)

Prayer Breakfast - (Non-Members, $30)

NOTE: Only 1 invited guest per member; guest must be negative for COVID-19 via PCR test within 7 days of event.

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