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DISTRICT 34A CONVENTION REGISTRATION FORM
HOTEL INFORMATION
DISTRICT 34 A 2020 CONVENTION
*
Indicates required field
Lion Name
*
First
Last
CLUB NAME
*
Street Address
*
City
*
State
*
Zipcode
*
Position in Club
*
Club President
Club Secretary
Other Officer Position
Member or Other
Choose only one
Convention Options (Pricing per member)
*
Early Bird Friday Night Meal and Event (BBQ) $21.00
Early Bird Saturday Luncheon and Event $26
Early Bird Both Days - $47 (registration at event $52)
Other questions or comments list here:
*
Phone Number
*
Email
*
IF BRING A GUEST LIST HERE
*
First
Last
MEAL INFORMATION (see below to choose meat
)
:
Baked Cheesy Mashed Potatoes, Broccoli Casserole, Green Beans, Roll, Tea and Homemade Banana Pudding. Friday meal is southern BBQ and the trimmings.
Meat Choice Lion
*
1/2 Baked Chicken
Ham
Choose only one meat. If you have a guest or second member, select from next menu.
Meat Choice Guest :
*
1/2 Baked Chicken
Ham
Submit
Hotel reservations and payment options are on next screen. Click submit above to continue
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