185th Convention Undergraduate Registration

Name(Required)

First Middle Last Suffix

Preferred Name(Required)

To be printed on nametags

Birth Date(Required)

Alpha(Required)

Alpha Year (Expected college graduation year)(Required)

Enter your office/position(Required)

Phone Number(Required)

Email Address(Required)

State of Residence(Required)

Country(Required)

Desired Track(Required)

Transportation Type(Required)

If driving, what is your estimated arrival time?(Required)

Do you commit to being there the whole time?(Required)

Which city are you traveling from on July 22 to Convention?(Required)

Which city are you traveling back to on July 26 after Convention?(Required)

Preferred Departure Time

KTN

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