ALPHA DELTA KAPPA DECEMBER 2010 - Gedung Kuning

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TOUR REGISTRATION FORM Deadline for registration: Friday, June 10, 2011 Half-Day Tours Date Cost # Tickets Total Architectural River Cruise Tuesday, July 12 $38 x = $ Architectural River Cruise Saturday, July 16 $48 x = $ Architectural River Cruise Sunday, July 17 $48 x = $ Highlights of Chicago with Willis Tower Ledge Tuesday, July 12 $65 x = $ Highlights of Chicago with Willis Tower Ledge Saturday, July 16 $65 x = $ Highlights of Chicago with Willis Tower Ledge Sunday, July 17 $65 x = $ Segway Tour Tuesday, July 12 $115 x = $ Segway Tour Saturday, July 16 $115 x = $ Segway Tour Sunday, July 17 $115 x = $ Cubs Game | Price: TBD Tentatively scheduled for Saturday, July 16-Time TBD Contact Chicago Is... for updated information. Full-Day Tours Art Chicago Tour Tuesday, July 12 $175 x = $ Art Chicago Tour Sunday, July 17 $175 x = $ Chicago Premium Outlets in Aurora Tuesday, July 12 $45 x = $ Chicago Premium Outlets in Aurora Sunday, July 17 $45 x = $ The Great Chicago Tour Tuesday, July 12 $210 x = $ The Great Chicago Tour Sunday, July 17 $210 x = $ TOTAL AMOUNT ENCLOSED $ I have special needs or requirements. Please have someone from Chicago Is... contact me. Cardholder’s Name (Last) : Address: (First): (MI): City: S/P/N: Zip/PC: Home Phone: ( ) Cell Phone: ( ) Method of payment: *Check/Money Order, Mastercard, Visa, American Express *Make checks payable to: Chicago Is . . . Credit Card Number: Expiration Date: I hereby authorize Chicago Is . . . to charge my credit card for the total amount listed above. Cardholder’s Signature: Date: Send to: Chicago Is . . ., Inc. Phone: 312-565-1550 Katherine Kirk Fax: 312-565-1161 151 N. Michigan Ave. Suite 1104 Chicago, IL 60601 ATTN: Katherine Kirk All charges will appear as Chicago Is . . . If making payment by check, please mail registration form with check to the address above. 14 Excellence in Action in Leadership
“Excellence in Action” Alpha Delta Kappa 2011 International Convention • Chicago, IL • July 13 - July 16, 2011 1. MEMBER INFORMATION Please attach the peel and stick mailing label from your <strong>KAPPA</strong>N in the marked area. If you are filling this area out by hand, your Member ID Number may be found on your <strong>KAPPA</strong>N and Columns mailing labels. Name Member ID# First Last State/Province/Nation (S/P/N) & Chapter Address City S/P/N Zip/PC First Name to Appear on Badge Home Phone ( ) Work Phone ( ) Email Address We’ve made it easy to register: Mail your completed form with payment to Alpha Delta Kappa’s bank lock box: Alpha Delta Kappa P.O. Box 879452 Kansas City, MO 64187-9452 2. EMERGENCY CONTACT (NOT Attending Convention) ( ) Name Phone Or, if paying by MasterCard or VISA: Fax your completed form to (816) 363-4010. Our fax line is open 24 hours a day. If faxing form, DO NOT mail a duplicate. Register on-line after January 1 on the Alpha Delta Kappa International website. 3. PLEASE TELL US . . . Official Delegate Information (Voting Delegates and Alternates Only) Check applicable designation: Chapter Delegate (one per chapter) Chapter Alternate Delegate (one per chapter) State/Provincial/National President S/P/N President-Elect S/P/N Immediate Past President 2009-2011 International Chapter Past International Chapter (2007-2009 or 2005-2007) Past International Executive Board Chairman Past International President International Chairman of Committee/Scholarship Board Special Designations: Please check special designations which apply to you: Jetaneer: You are a Jetaneer if you have attended any seven International conventions, not necessarily consecutively. First Timer: You are a First Timer when you attend your first International convention. Golden Sister: You are a Golden Sister if you have been an Alpha Delta Kappa member for 50 or more years. Sapphire Sister: You are a Sapphire Sister if you have been an Alpha Delta Kappa member for 35 or more years. Silver Sister: You are a Silver Sister if you have been an Alpha Delta Kappa member for 25 or more years. DoDos/All Timers: You are a DoDo if you were a province chairman. You are an All Timer if you have attended all International Conventions and the 1955 National Convention. All Sincers: You are an All Sincer if you have attended all International conventions since being initiated and have attended at least three International conventions. Volunteers: I am neither a delegate nor alternate and wish to serve as assistant sergeant-at-arms. I am a delegate or alternate but wish to serve as assistant sergeant-at-arms except Friday, July 15, when voting takes place. As a musician, I wish to participate as follows: Vocal Instrumental Both List instrument and/or choral part (e.g. soprano, alto): 4. SPECIAL NEEDS Special seating requested for members with wheelchairs and/or hearing or vision impairment Vegetarian meals requested Notify hotel of any special room needs: (800) 228-9290 or (312) 836-0100 5. MEMORIAL SERVICE Reserve seats in the family section for the family of: See back for additional registration options. Excellence in Action in Leadership 15
Page 1 and 2: 2011 InternatIonal ConventIon in Ch
Page 3 and 4: International President’s Message
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Page 9 and 10: 9. Beyond Four Walls: The Digital C
Page 11 and 12: 37. Tips For Successful Nana Camps
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Page 15: Architectural River Cruise Price: $
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Page 21 and 22: do that. It’s way too hot.” The
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Page 27 and 28: not aged at all. I read that Hanoi
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Page 31 and 32: pressing the button on the laptop .
Page 33 and 34: for the next 15 years, they would a
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Page 43 and 44: 2009 - 2011 regIonAl scholArshIp pr
Page 45 and 46: CHAPTER PRESIDENTS Note: Chapters l
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Honors Clarissa adams-FletCher, Geo
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Fraternal Fellowship in Action Exce
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Fraternal Fellowship in Action Exce
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Patricia Coggin, Tennessee Chi Chap
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Lyn Long, South Carolina Rho Chapte
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Altruism in Action Altruism in Acti
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Fraternal Fellowship in Action Frat
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Fraternal Fellowship in Action Frat
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Anniversary Celebrations Due to spa
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Ω Omega Chapter Lillian H. Blakey
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Corrine Nevins Nebraska Zeta Kather
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Official Jewelry & Gifts These item
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Official Jewelry & Gifts These item
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Alpha Delta Kappa Official Jewelry,
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ALPHA DELTA KAPPA DECEMBER 2010 - Gedung Kuning

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