2024 Arlington Registration Form

Name

First NameLast Name

Lady/Guest Name

First NameLast Name

Title/Position - As of 1 November 2023

Shrine Temple/Unit

Arrival Date

Date

Departure Date

Date

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Yes

If Other Type Of Transportation Is Required Enter In Space Below

Physical/Medical/Food Restrictions

If Paid By Check Enter Check Number and Date

Additional Comments

My Products

Registration Fee

Required for all attendees.

$25.00 Quantity

Arlington Commemorative Coin

$10.00 Quantity

Welcome Party

$ Free Quantity

Lady's Mimosa Brunch

Open to all ladies

$35.00 Quantity

Washington/Arlington Bus Tour

Limited to 50 Seats

$50.00 Quantity

Welcome & Memorial Service

$ Free Quantity

Bus To Arlington Cemetery

Indicate below if handicap or special transportation is needed.

$15.00 Quantity

Wreath Laying At Tomb and Canadian Service

$ Free Quantity

Arlington Luncheon

Roast Turkey, Stuffing, Mashed Potatoes, Gravy, Seasonal Vegetables

$35.00 Quantity

Total

$0.00

2024 Arlington Pilgrimage Registration

FORM AND PAYMENT MUST BE SUBMITTED BY OCTOBER 1, 2024

Make checks payable to IALOH and mail to:

IF YOU HAVE MORE THAN ONE GUEST COMING TO THE PILGRIMAGE ENTER THEIR NAMES IN THE ADDITIONAL COMMENTS SECTION