Registration

ALPHA DELTA GAMMA 90TH NATIONAL CONVENTION

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Register by May 31st, 2021, to receive the discounted delegate fee of $150 and a complimentary Alpha Delta Gamma glass mug. Starting June 1st, 2021, the delegate fee will increase to $175 and mugs will be available for purchase.

Registration Form

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Shirt Size *

Chapter *

Semester and Year Initiated *

Status *

Active Alumnus Current/Past National Officer (ADG or ADGF)

Please list any current positions you hold within ADG, if any. *

Is this is your first Convention/National Event? *

Yes

What days do you plan to attend Convention (meetings officially start Thursday morning)? *

Sunday, 8/1 Monday, 8/2 Tuesday, 8/3 Wednesday, 8/4 Thursday, 8/5 Friday, 8/6 Saturday, 8/7 Sunday, 8/8

This will help us plan for capacity for events, both the events before Convention and during.

Guest Name (If Applicable) *

First

Last

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

I agree to receiving marketing and promotional materials

Submit

Steward contact information (Please make all checks payable to "Alpha Delta Gamma National Fraternity"):

Mailing Address

Anthony Medellin
609 Wilderness Rd
Louisville, KY 40214

TELEPHONE

210-430-5222

EMAIL

anthony.medellin@gmail.com

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