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ΦΒΚ at Asilomar February 16-19, 2024
Deadline for Registration: January 20, 2024

Registration fee: # Attending _______  Please pay the appropriate fee (your guests pay the same)

  • A/ You are a currently paid member of PBKNCA or a new initiate who has joined PBKNCA – $150.00
  • B/ You were elected to PBK in college but have not joined PBKNCA or your dues have lapsed – $180.00
Check payable to PBKNCA. Enter “Asilomar” on check

Mail to: Barry Haskell, 1190 Fairbrook Dr., Mountain View, CA 94040

Questions? Contact Barry Haskell 
Member Name(s):
Member PBK Alma Mater:
Member Address: 
Member Phone #(s): 
Member Email (essential!)
Is this the first time you have attended our Asilomar Conference?
Where initiated to ΦBK (For your name tag)
Guest name(s)

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