Delta Kappa Gamma Society InternationalEpsilon State

Southwest District MeetingHosted by Alpha Zeta Chapter

DATE: Saturday, November 4, 2017PLACE: Steamboat Warehouse

525 N Main St, Washington, LA 70589

TIME: 8:30 A.M. - 9:00 A.M. Registration/Refreshments 9:00 A.M. - 12:00 P.M. Program 12:00 P.M. - 1:30 P.M. Lunch and Awards

REGISTRATION FEE/LUNCHEON RESERVATION: $30.00 MAKE CHECKS PAYABLE TO: Delta Kappa Gamma - Alpha Zeta Chapter (Put SW District Meeting on memo line.) MAIL CHECKS AND REGISTRATION FORM TO: June Inhern, P.O. Box 691, Washington, LA 70589 REGISTRATION MUST BE POSTMARKED BY: Friday, October 6, 2017 Late registrations and payments will be returned! QUESTIONS? Contact Mary Miller at millermr@bellsouth.net or June Inhern at jginhern@yahoo.com

************************************************************************************************************REGISTRATION FORM

(PLEASE PRINT) Please fill out the following information and return this portion with your check:

Name: ___ Chapter: ______ District:

Address: City: Zip:

Phone: E-mail: Check any that apply to you:

Current State Officer Current District Director Current Chapter President Current State Committee Member Current State Committee Chairman

SOUTHWEST'S CELEBRATIONΔΚΓ Sisters:

LOUISIANA RECIPE FOR DKG SUCCESS:TEAMWORK, LEADERSHIP, COMMUNICATION

Special Requests (check any that apply): Visual (seating near speaker) Mobility: wheel chair space Diabetic Hearing impaired (seating near speaker) Other:____________________________

** Please sign if you do not grant permission to publish a picture of yourself

For attendees arriving on Friday, a block of rooms has been reserved at: Evangeline Downs Hotel, 2235 Creswell Extension, Opelousas, La

Phone: (337) 407-2121Be sure to state you are with DELTA KAPPA GAMMA.

Registration Fee/Luncheon Reservation (postmarked by 10/06/17)NO REGISTRATION ACCEPTED AFTER THIS DATE!

$30.00