2024 Annual Convention
3/17/24, Irvine Lake View Senior Center
Name
*
First Name
Last Name
Organization
*
E-mail
*
example@example.com
Phone Number
Additional name(s) AND email(s) with this registration if more than one person
Registraion Type
*
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( X )
Regular
$60.00
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Life Member, Student, Family
$30.00
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sponsor/VIP
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Sponsoring a Table
$600.00
$
600.00
New Life Membership
$200.00
$
200.00
Continue to Payment
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