STATE CONVENTION REGISTRATION FORM


Registration and Event Ticket for 124th State Convention - May 19-21, 2023
*** ONE REGISTRATION FOR INDIVIDUAL OR FAMILY PER FORM ONLY ***

THERE WILL BE NO ON-SITE REGISTRATION. PRE-REGISTRATION ONLY.


Are You A Delegate, Non-Delegate/Alternate, or Guest? *
Office Use Only (Do Not Use) *


GUEST INFORMATION

Enter Any Additional Guest(s) Name, Relation, and which luncheon are they attending on Sunday. 🛈
 First NameLast NameRelationEnter Men or Ladies Sunday Luncheon
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CONVENTION REGISTRATION

A. You MUST Select Bundle Below
B. You MUST Select a Bundle Below (includes PayPal Fees)
A. Enter the number (0-4) of Guest Bundles
B. Enter the number (0-4) of Guest Bundles (includes PayPal Fees)

GOLF TOURNAMENT

Enter # Golfers Paying For (Includes PayPal Fees)
Includes: Coffee & Donuts, 18-Holes, Half Cart, and Box Lunch at the Turn

Are you solo or playing with others?

Golf Players Info
 First NameLast NamePhoneEmail
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EUCHRE TOURNAMENT

Enter Number Playing Euchre

Do You Have A Partner?

Euchre Partner Info
 First NameLast NamePhoneEmail
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STATE COUNCIL ROOM INFORMATION

Please indicate your arrival and departure dates from the State Convention below.
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FOR OFFICE USE ONLY

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