Phi Beta Kappa Northern California Association

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ΦΒΚ at Asilomar February 14-17, 2025

Deadline for Registration: February 10, 2025

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 ΦBK 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)