2022 Membership Dues Form and Annual Meeting Reservation Form
See Downloadable Form Below!
| Name | _______________________ |
| Address | _______________________ |
| City, State, Zip Code | _______________________ |
| Email address | _______________________ |
| Alma Mater | _______________________ |
Select one:
| Membership ($20.00) | |
| Contributing Membership ($50.00) | |
| Scholastic Sponsor ($120.00) – select a high school to sponsor: _______________ | |
| Gold Key Benefactor ($500.00) – lifetime membership |
Annual Meeting of the Alpha Association of Indiana, Phi Beta Kappa
Woodstock Club, Tuesday, May 17, 2022
1301 West 38th Street (across from the Indianapolis Art Museum)
6:15 p.m. – cash bar
7:00 p.m. – dinner (East Room)
7:45 p.m. – business meeting with speaker to follow
$50.00 per person (gratuity and taxes included)
MENU
All entrees include mixed green house salad, Yukon Gold mashed potatoes, honey glazed Belgian carrots, rolls & butter
| Name(s): | Slow Braised Beef Brisket |
| Name(s): | All-Natural Pan Roasted Twin Chicken Breast Marsala – SauteedMushrooms, Marsala Wine and a hint of Cream |
| Name(s): | Portobello Mushroom and sliced tomato, slow poached in garlic, herbs and olive oil |
The World’s Smallest Sundae
Coffee, Tea, or Lemonade
Please print name(s) of those attending dinner next to their entrée selection by May 10th
PLEASE MAKE CHECK PAYABLE TO: Alpha Association of Indiana, Phi Beta Kappa
send to: c/o Joel Tragesser, P.O. Box 441582, Indianapolis, IN 46244-1582
Alpha Association of Indiana Phi Beta Kappa 