2008 Regional Honors Institute

University of Mary Washington, Fredericksburg, VA

$100.00 registration fee per person

School:

Other:

Advisor:

Advisor Phone:

President:

President Phone:

Contact email:

Please enter all registrants below:

Check the "veg" box if the registrant prefers a vegetarian meal

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

First: Last: Advisor Member

Mail payment to:

Michael Brown

Southwest Virginia Community College

PO Box SVCC, Richlan,VA 24641

Please make checks Payable to:

Phi Theta Kappa of Virginia EIN #91-1777-607

Deadline for registration is: Oct. 22

Please note:

Each Chapter gets one Registration Scholarship
The number of people registered as of Oct. 22 is the number of registrations that the chapter must pay for.
Additional registrations may be added after Oct. 22, depending on space available.
Refund Policy: No refunds for cancellations after Oct. 10
Receipts: If a receipt is requested, a self-addressed envelope must be included with the payment.