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InterPACK Group Registration
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*
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School Name
*
Alvernia University
Bucknell University
Carnegie Mellon University
Drexel University
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Elizabethtown College
King's College
Lock Haven University
Lycoming College
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Susquehanna University
Temple University
Thiel College
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University Of Pittsburgh – Greensburg Campus
University of Scranton
Attendees Information
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Name
Position
Cell Phone
Email
Do you have any dietary restrictions?
If Yes, please indicate
T-Shirt Size
T-Shirt Color
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Payment
*
Check
Credit Card
Venmo (@pakiwanis)
Invoice Needed to Generate Payment
If paying with a check, please make the check payable to PA Circle K and mail it to: PA District Kiwanis International, P.O. Box 62, Dillsburg, PA 17019. Registration will be cancelled and you will be billed for 50% of the cost, if your check is not received by November 14, 2024 at 5:00 PM.
Primary Contact Full Name
*
This person is responsible for payment for the group.
Primary Contact Email
*
This is the email that will receive payment receipt.
Credit Card
Card Details
Cardholder Name
CAPTCHA
Δ
"
*
" indicates required fields
School Name
*
Alvernia University
Bucknell University
Carnegie Mellon University
Drexel University
Duquesne University
Elizabethtown College
King's College
Lock Haven University
Lycoming College
Pennsylvania State University – University Park
Penn Western University – Clarion
Penn Western University – Edinboro
Shippensburg Univ. Of Pennsylvania
St.Joe's University – UC
Susquehanna University
Temple University
Thiel College
University Of Pittsburgh
University Of Pittsburgh – Greensburg Campus
University of Scranton
Attendees Information
Registration Type
Name
Position
Cell Phone
Email
Do you have any dietary restrictions?
If Yes, please indicate
T-Shirt Size
T-Shirt Color
Actions
Edit
Delete
There are no
Entries.
Add Entry
Maximum number of entries reached.
Total Registered
Product Name
Price:
$0.00
Total
Payment
*
Check
Credit Card
Venmo (@pakiwanis)
Invoice Needed to Generate Payment
If paying with a check, please make the check payable to PA Circle K and mail it to: PA District Kiwanis International, P.O. Box 62, Dillsburg, PA 17019. Registration will be cancelled and you will be billed for 50% of the cost, if your check is not received by November 14, 2024 at 5:00 PM.
Primary Contact Full Name
*
This person is responsible for payment for the group.
Primary Contact Email
*
This is the email that will receive payment receipt.
Credit Card
Card Details
Cardholder Name
CAPTCHA
Δ
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