Store
Card Connect (Payment Portal)
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Store
Card Connect (Payment Portal)
Please provide the following to register:
*
Indicates required field
Name
*
First
Last
Preferred Name
*
(i.e. Tom instead of Thomas)
Email
*
Phone Number
*
Chapter
*
Beta
Zeta
Kappa
Lambda
Xi
Rho
Psi
Alpha Delta
Alpha Epsilon
Alpha Eta
Alpha Iota
Alpha Kappa
Alpha
Gamma
Delta
Epsilon
Eta
Theta
Iota
Mu
Nu
Omicron
Pi
Sigma
Tau
Upsilon
Phi
Chi
Alpha Beta
Alpha Gamma
Alpha Zeta
Alpha Theta
Alpha Lambda
Position (if any)
*
Status
*
Active
Candidate
Alumni
Emergency Contact
*
First
Last
Not Required due to Virtual Event.
Emergency Contact Phone Number
*
Not Required due to Virtual Event.
Submit
Store
Card Connect (Payment Portal)