2022 Annual Dinner Reservation Form

2022 Membership Dues Form and Annual Meeting Reservation Form

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)


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

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