Pre-registration Form
118th Supreme Council Session - Hot Springs, Arkansas
Type information in boxes provided, print this form and mail it to:
Supreme Council Office
430 Beecher Rd - Gahanna, OH 43230-1797

 

Grotto:

Prophet's Name: Lady's Name:
Children's Names & Ages
Address: City, State, Zip:
Phone Number:

Please check the appropriate listing. Prophet is: Monarch
Past Monarch Chief Justice Master of Ceremonies Secretary
VIP Alternate for: (select) What Grotto:
Supreme Council Number (listed on your dues card)

Don't Forget To Bring Your 2008 Dues Card to Session!

Pre Registration
Cost
Number of Tickets
Total
Prophet Registration
$10.00
Ladies & Children's Registration
$5.00
Thursday - Southern Style Fish Fry (w/chicken)
$20.00
Friday - Men's General Luncheon
$25.00
Friday - Ladies' General Luncheon
$20.00
Friday - Grand Monarch's Banquet
$38.00
Saturday - Red Tassel Party
$6.00
$00.00
 
$00.00
$00.00
Total Amount Enclosed
  

Your Check or Money Order Must Accompany This Reservation Form !

** Convention Events Information **
** Convention Greeting from Grand Monarch **
** For Golf Registration ** ** Hotel Registration **


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This page was last updated December 16, 2007