Delegates Registration

Each organization must complete the Delegates Registration Form and submit it along with payment to the hosting chapter.

The form can be filled out below and submitted directly from the website or can be downloaded, printed and mailed or emailed to the address below.

Mailing Information
Nafpaktian Society
107 N. Valleybrook Rd.
Cherry Hill, NJ 08034

Email
nafpaktiansociety@gmail.com

Payment Options

$275.00 per Delegate

1. Mail a check payable to the mailing address listed.
2. Pay online using any major credit card.

DELEGATES REGISTRATION FORM

Registration Deadline October 16, 2026

Please fill out all the information.

Organization*

Country*

Address*

City*

State/Prov.*

Postal Code*

DELEGATES INFORMATION

DELEGATE 1 (Primary Contact)

Name*

Title*

Phone*

Email*

DELEGATE 2

Name

Title

Phone

DELEGATE 3

Name

Title

Phone

DELEGATE 4

Name

Title

Phone

DELEGATE 5

Name

Title

Phone

ALTERNATIVES INFORMATION

ALTERNATIVE 1

Name

Title

Phone

ALTERNATIVE 2

Name

Title

Phone

ALTERNATIVE 3

Name

Title

Phone

Payment Options* Credit CardCheck

Make Checks Payable and Mail to:
Nafpaktian Society
107 N. Valleybrook Rd.
Cherry Hill, NJ 08034