Diamond/Golden Special Needs Hospitality Registration Form

Pantone 211C & 361C

Diamond/Golden Special NeedsHospitality Registration Form

PLEASE SEND A DUPLICATE OF THIS FORM • KEEP A COPY FOR YOUR RECORDS

The Diamond, Golden and Special Needs Committee welcomes you in love to Atlanta and the 67th Boule. Weplan to roll out the pink and green carpet so please join us in the hospitality suite for entertainment, relaxationand much more. In order to serve you with our Sweet Southern Charm, we ask that you complete the data below.Diamond Sorors with 75+ years of service to Alpha Kappa Alpha Sorority, Incorporated, Golden Sorors with 50+years of service to Alpha Kappa Alpha Sorority, Incorporated and senior sorors with physical challenges and re-quire assistance are all welcome.The hours of operation are from 8:00AM to 6:00 PM Sunday — Wednesday.

Please check the appropriate category:

DIAMOND SOROR GOLDEN SOROR SPECIAL NEEDS

(REQUIRE SPECIAL ASSISTANCE (PLEASE PROVIDE DETAILS):

FULL NAME (PLEASE TYPE OR PRINT)

MOBILE PHONE NUMBER EMAIL ADDRESS

CHAPTER REGION

CURRENT CHAPTER CHAPTER BASILEUS NAME PHONE NUMBER

Please Submit by February 12, 2016MAIL FORM TO:

Alpha Kappa Alpha Sorority, Inc.Corporate Office — Boule D/G/SN HOSPITALITY COMMITTEE

5656 S. Stony Island AvenueChicago, IL 60637

FORWARD ALL QUESTIONS TO:Soror Sekema Harmon

Email: fvaka87@gmail.com