2023 Official Convention Online Registration Form
Registration Fee NonRefundable~No Refunds after April 1~Late Registrations until April 7 (+$30)
Full Name
*
First Name
Last Name
Name for Badge
District
*
District Name
District
District
State / Province
Postal / Zip Code
Club Name
*
District Name
District
District
State / Province
Postal / Zip Code
Cell Number
Home Phone Number
E-mail
*
example@example.com
Emergency Contact
*
Name, Phone, Cell
Check all that apply. Note: All GCG Board Members, all GCG Life Members, and one member from each club are Voting Delegates. Please check that box if applicable.
State President
State Board Member
State Life Member
GCG Member
GCG Guest
My 1st GCG Convention
District Director
District Board Member
Council President
Club President
Voting Delegate
Former State President
Deep South Board Member
Deep South Life Member
Former Deep South Director
National Board Member
National Life Member
Former NGC President
DIETARY RESTRICTIONS
WILL BE CONSIDERED FOR MEDICAL OR RELIGIOUS REASONS ONLY. PLEASE LIST.
Guest Name 1 (Will be name on badge)
First Name
Last Name
Are you a:
Please Select
GCG Subscribing Member
GCG Guest
Other
DIETARY RESTRICTIONS GUEST 1
WILL BE CONSIDERED FOR MEDICAL OR RELIGIOUS REASONS ONLY. PLEASE LIST.
Guest Name 2 (Will be name on badge)
First Name
Last Name
DIETARY RESTRICTIONS GUEST 2
WILL BE CONSIDERED FOR MEDICAL OR RELIGIOUS REASONS ONLY. PLEASE LIST.
Are you a:
Please Select
GCG Subscribing Member
GCG Guest
Other
Calculation
Number
REGISTRATION - Ends on March 31
*
Categories:
All
All
Full Time Plan
Part Time Plan
Late Fee
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Full Time Plan
PACKAGE PLAN
Includes all registration fees, Workshops, Opening Dinner, Wednesday Luncheon, Awards Banquet and Membership Luncheon
$
256.00
Number attending
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Part Time Plan
DAILY REGISTRATION FEE Tuesday
Per Day Charge. Required for all Part-Time Attendees; Not refundable.
$
30.00
Tuesday
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Opening Night Dinner
Tuesday, April 18, 7:00 pm
$
63.00
Number attending
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
DAILY REGISTRATION FEE Wednesday
Per Day Charge. Required for all Part-Time Attendees; Not refundable.
$
30.00
Wednesday
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Wednesday Luncheon
Wednesday, April 1 9, 11:30 am
$
45.00
Number attending
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Wednesday Awards Banquet
Wednesday, April 19, 7:00 pm
$
63.00
Number attending
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Thursday Membership Luncheon & Officer Installation
Thursday, April 20, 11:30 am
$
45.00
Number attending
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Late Fee
Late Fee
Required as of April 1, 2023
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
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