Registration Form

  •  ---------------------------------------------------------- Please Complete and Return Registration Form ----------------------------------------------------------

     

    Click Here for a Printable Version

     

    31st Anniversary  Beta Tau Alumni Oyster Roast and Golf Tournament

     

    Send registration to:

     

    Beta Tau Society

    Attn: Rick Tate

    1708 Lone Holly Way

    Raleigh, North Carolina 27610

    rick.tate@dhhs.nc.gov

     

    Registration Deadline:  April 20, 2011

     

     

    Name: ________________________________________________________________________

     

    Address: ______________________________________________________________________

     

    City, State Zip: _________________________________________________________________

     

    Beta Tau #: ____  Email Address: ___________________  Phone Number: _________________

     

     

    ________ I am enclosing my check, payable to BETA TAU SOCIETY, for the Oyster Roast fee ($45.00).

     

    ________ I am enclosing my check, payable to BETA TAU SOCIETY, for the Oyster Roast and Golf fees ($135.00).

     

    ________ I am enclosing my second check, payable to BETA TAU SOCIETY, to sponsor a senior for the Friday Night dinner ($25.00). If you would like a Oyster Roast tee shirt @ $20.00 please indicate your size____________

     

    ________ I am enclosing my check, payable to BETA TAU SOCIETY, for the Oyster Roast fee ($45.00) and my additional check, payable to the Sigma Nu Education Foundation, Inc., as my contribution to the annual fundraiser.( In the memo field, write “ Beta Tau Chapter”)

     

    ________ I cannot attend, but enclosed is my check, payable to the Sigma Nu Educational Foundation, Inc.  (In the memo field , write Beta Tau Chapter.)

     

     

    (If anyone is interested in donating a prize for raffle or golf tournament, please contact Rick Tate