Department Midwinter Conference Registration
February 1, 2025
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Post/Squadron Number
*
District Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I am registering as
*
Legionnaire
SAL Member
I am bringing one or more guests
*
Yes
No
Name(s) of Guests
NOTE: Each Legionnaire, Auxiliary and SAL member should submit a separate form and not be listed as guests.
Select and Pay
*
prev
next
( X )
Meeting Registration:
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Buffet Lunch
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Complete Registration & Pay
Should be Empty: