2020 NLI Registration
Number I's Leadership Institute
January 9-12, 2020
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Province *
Chapter & University *
Legal First Name *
Legal first name so that we can purchase your flight.
Legal Middle Name *
Legal middle name so that we can purchase your flight.
Legal Last Name *
Legal first name so that we can purchase your flight.
Legal Suffix (Jr., Sr., II, etc.)
Legal suffix so that we can purchase your flight.
Preferred First Name for Name Tag *
i.e. if your name is William, but you go by Will or Bill
Birthdate *
So that we can purchase your flight if not driving.
MM
/
DD
/
YYYY
Email *
Cell Phone Number *
Please enter as (XXX) XXX-XXXX
Cell Phone Carrier *
Cell Phone Billing Zip Code *
I agree to accept informational and educational messages delivered by SMS and calls from the Kappa Alpha Order National Administrative Office for NLI. *
Required
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