PHI BETA SIGMA FRATERNITY INCORPORATED
38th Annual Gulf Coast Regional Conference - April 5-7, 2012

Westin New Orleans Canal Place
100 Rue Iberville
New Orleans, LA. 70130
504-553-5110

Call and make reservations ASAP! Conference Rate is $99.00 and the cutoff date is March 5, 2012

ONLINE REGISTRATION


Please email webmaster@gulfcoastsigma.com if you have any questions about the online registration process.

First Name: Last Name:
National/Region/State Office: None National Regional State
Chapter:
Life Member: Yes No
DSC Member: Yes No
First Time Attendee: Yes No

Address Line 1:
Address Line 2:
City: , State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AA AE AP AS FM GU MH MP PR PW VI Zip:
Email:
Phone: - -
Registration Fees: Includes, but not limited to, admission to hospitality suite, continental breakfast, DSC Luncheon, workshops, exhibits, and meetings.
Meal Choice: Fish Chicken

Please select the Committee you wish to be a participating member of. Committee assignments will be completed on March 19, 2012. Committee meetings are scheduled for Thursday, April 5, 2012 from 6:00 p.m. until 8:00 p.m.
Committees: Audit Awards Chapter Display Chapter Reports Collegiate Affairs Constitution Credentials Grievance Historical Archives Laws and Revision Necrology and Rededication Resolutions Time and Place

Please note deadlines below:

Affiliation:	Early Bird Ends 1/31/12	Pre-Registration 2/1/12 - 3/5/12	Late/On-site Registration after 3/5/11
Collegiate	$100	$120	$140
Alumni	$125	$150	$175
Guest (includes DSC Luncheon)	$50	$60	$75

Refunds: Written request for refunds must be postmarked no later than March 5, 2012. Send refund request to the address below.
Phi Beta Sigma Fraternity, Inc.
Gulf Coast Region
P. O. Box 411340
Dallas, TX 75241