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Phi Mu Fraternity

Arkansas State Day 2003

Registration Form

Arkansas State Day will be held Saturday March 1, 2003 at the Wyndham Riverfront Hotel in North Little Rock at 10am.

First Name:____________________ Last Name:______________________

____Alumna ____Collegian

Chapter:____________________________

Office held:___________________________

T-Shirt size:____S ____M ____L ____XL ____XXL

Registration Fee: $30 per person and includes State Day lunch and a T-Shirt.

Due Date: February 1, 2003

Please mail this form along with check made out to Phi Mu to:
Mrs. Erin Goss
64 Emerald Drive
Maumelle, AR 72113