Lodge Pelican Open Hearts Competition Sign-Up 2022

1st place trophy and prize to the winner. Consolation prizes to the runners-up. $10 registration. Open to fraternal members only. Sign-Up below!!

REGISTRATION CLOSES FRIDAY NOVEMBER 11, 2022.

Email Address*

example@example.com

Email Address

NoYes

Full Name*

Contact Number*

Enter a valid phone number, e.g. (246) 231-4321Format: (000) 000-0000.

Lodge Name and Number*

Lodge Example No. 1234 SC | Enter "NA" if not a freemason.

Rank or Office*

Abbreviated Rank or Office e.g. "MM" or "DGDC" | Enter "NA" if not a freemason.

Address

Home Address

I wish to register to participate in the Lodge Pelican Open Masonic Hearts Competition (BBD $10.00)

*only those registered will be accommodated at the Festive Board.

Dining fee should be paid in advance by direct deposit to the account of the District Grand Lodge. Kindly contact the District Grand Secretary at dgsecbdssc@gmail.com for details.

N.B. Registration for dining will be considered a commitment to pay even if unable to attend.

Credit CardDirect DepositCash

Details for Direct Bank Deposit:

PLEASE NOTE THESE DETAILS NOW

COST: BBD $10.00

Bank Name: Republic Bank (Barbados) Limited
Account Name: Lodge Pelican No. 1750
Account #: 148082672001
Branch Location: Worthing
Transit Number: 01014
Account Type: Chequing
Account Address: Salters, St. George, Barbados

Email: lodgepelican@gmail.com

*Kindly contact the Secretary at lodgepelican@gmail.com once payment has been made.

Credit Card Option (Check Option Below)

Lodge Pelican Open Hearts Registration

Pelican Open Hearts Fee (includes 4.5% convenience fee)

$5.23

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Your email address*

I confirm.

N.B. On submission of this form by clicking "Submit" below, your credit card will be charged for the registration (USD $5.23). Your credit card statement will show a charge from "KOBRYTE SVCS ####" reflecting your chosen options.

Please direct any questions or comments to lodgepelican@gmail.com

Lodge Pelican Open Masonic Hearts Competition Sign-Up | Pork Festival

Payment

Confirmation