---------------------------------------------------------- Please Complete and Return Registration Form ----------------------------------------------------------
30th 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, 2010
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