Registration Form

National Convention

Delta Tau Alpha Honor Society
April 4 to 6, 2004

 

 

School Name:__________________________________________________

 

Name

 

Shirt Size

(M – 2XL)

Fee for Delegation Photo

($15 each)

Fee for

Group Photo

($15 each)

Registration Fee

($50 by 3/1)

($70 after 3/1)

Total Cost

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

Please list special accommodations required by your delegation (e.g., physical or dietary):

 

 

 

 

 

 

 

Mail Registration Fees to:

Dr. John S. Russ

Box 8109

Agricultural & Resource Economics

NC State University

Raleigh, North Carolina 27695