2017 State Convention Registration

pdf iconPaper Registration Form

Payee Registration


First Name:  
Last Name:  
Total number in your party including yourself:
(if disabled, admins require a specific # of registrants)
Council Number (Not required for Spouse or Child):
 
Home Address: 
City: 
State:
 
Zip:
E-Mail:
Phone:
Position:
Notes:
After you complete this form you will be taken  to the party member form and asked to complete for the number of party members you declare or the number of party members required by the administrators.  After they are completed, you will be able to select your items and proceed to check out.
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