2025 Grand Lodge Registration Form
Annual Communication Baton Rouge, LA June 11-15, 2025
Registration Type
*
Please Select
In Person (LA Member)
Virtual Out of State (LA Member)
Virtual Overseas (LA Member)
Virtual "Special Circumstances" (LA Member)
Candidate Registration
Guest
Note: All "Special Circumstances" must be approved by the Grand Master prior to registration.
Full Name
*
First Name
Initial
Last Name
Suffix
Lodge Name/Number/District No.
*
Lodge Name
Number
District No.
Title/Position
*
Grand/Local Title / Position
Contact Number
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
*
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( X )
Advance Registration
May 16 - May 31 = $275 June 1 - June 7 + $285
$
285.00
Late/On-Site Registration
June 8, 2024 - June 15, 2025
$
300.00
Virtual Registration Option 1
Through June 12, 2025
$
100.00
Virtual Registration Option 2
After June 13, 2025
$
125.00
Extra Banquet Ticket
$
60.00
Dance Ticket
Frankie Beverly All White Party Tribute
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Candidate Registration
For Candidates attending Grand Session ONLY!
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit Registration
Should be Empty: