Registration

midwest_regional_conference_-_local.pdf
File Size:	598 kb
File Type:	pdf

Download File

Salutation *

Dr. Mr. Mrs. Ms.

Name *

First

Last

Please Enter Your Age *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

TSU Graduate *

Yes No

Year of Graduation *

Major *

Alumni Chapter *

Membership Level *

Name of Spouse / Children / Other / (If Attending): *

Additional Guest *

Membership Level *

Ages of Guests *

Registration Levels *

April 22 - May 31, Regular Registration $150 June 1- June 15, Late Registration $175 After June 15 Onsite registration - $200 (cash or card only)

Number of People Registering *

Registration x Cost = *

Cruising Motown, Friday, June 21st $40, Hitsville museum, Lafayette Coney Island, and the Charles H. Wright museum

Crusing Motown Quantity *

Cruising Motown x Cost = *

VIP Meet and Greet Friday June 21st Luncheon Saturday, $55, Attendees will be able to meet Mr. James Shaw, Jr., the Keynote speaker, take photos, ask questions etc....

VIP M&G, Luncheon Quantity *

VIP M&G, Luncheon x Cost = *

Luncheon Only, Saturday, June 22nd, $50

Luncheon Only Quantity *

Luncheon Only x Cost = *

VIP Meet & Greet Only, Friday June 21st, With Mr. James Shaw, Jr., $10

VIP M&G Only Quantity *

VIP M&G Only x Cost = *

What Method of Payment are You Choosing *

Placing Payment in the Mail Using CashApp Paying Online

Please add all of the cost and enter them below:

Total Registration Costs + Number of People Attending = *

Total Individual Ticket Cost *

Total Payment Required (Registration + Individual Ticket =) *

REGISTRATION BY MAIL
Please mail completed registration form with payment to:
TSUAA Detroit Chapter
Attn: Midwest Regional Conference Committee
P.O. Box 37075
Oak Park, MI 48237

Purchase below with card
Make Check Payable to: TSUAA Detroit Chapter
Cash App: $TSUAADetroit
Place in Memo: 2019 TSUNAA Midwest Conference
Online

2019 TSUNAA Midwest Regional Conference Registration Form

Registration Options

PAYMENT INFORMATION

Print this page before submitting

Luncheon Saturday June 22nd

Cruising Motown Friday June 21st

VIP Meet & Greet with Luncheon Friday June 21st, & Saturday June 22nd

Friday Meet and Greet Only Friday June 21st