District 23 Online Conference Registration

District 23 Online Conference Registration

Attendee Information

First Name
Middle Name
Last Name
Address 1
Address 2
City
State
Zip Code
Phone
Email
Achievement Level
Highest Office You Currently Hold
Help With Conference
Registration Information
First Conference? ($5 discount on a full registration)
Registration Type
A La Carte Options:
Lunch, Hall of Fame, and Evaluation Contest ($25)
Dinner and Humorous Contest ($33)
Presidents Breakfast
Vegetarian Meal
Clubs Attended
First Club
Second Club
Third Club
Fourth Club
Fifth Club
Sixth Club
Seventh Club
Eigth Club
Ninth Club
Tenth Club
Notes Please add any notes or special instructions for the registration committee.
Notes

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