2017 Fall Leadership Conference

  • The registration fee for this conference is $70.00 per attendee.
  • Chapter Information

  • Chapter Attendees

  • *Include first and last name of each attendee. List as "member" or "advisor" or "college president."
  • Please include the name of any attendee and any dietary restrictions, including allergies, vegetarian preferences, etc.
  • Please identify members requiring special consideration, including mobility restrictions.
  • Payment Instructions

  • Make checks payable to: Wisconsin Region of Phi Theta Kappa

    Mail to:
    Linda Duffy
    400 7th Street North
    La Crosse, WI 54601
    (608) 789-4792
    duffyl@westerntc.edu

    Upon submission of this form, an invoice will be created and e-mailed to you within 48 hours. Please note that modifications, including cancellations, cannot be accepted after October 13, 2017, at 2:00 p.m. CST. Be sure to make your hotel reservations by September 29 to ensure the group rate.

  • Linda Duffy, PTK Wisconsin Coordinator, at duffyl@westerntc.edu.