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2024 Convention Registration

Name

Email

Address

Home Phone

Work Phone

Member of which Club?

Office Held?

Voting Delegate?

Yes No

First Convention?

Yes No

Complete Convention Package $120/person:

Partial Convention Package $65/person:

Dinner Banquet Only Registration $50/person:

Additional Guest Meals:

Lunch $30/guest:

Dinner $40/guest: