Attendee Information
Please fill name and contact information of attendees.
Current Position/Title
*
Noble
Daughter
Past Potentate
Past Commandress
Illustrious Potentate
Illustrious Commandress
HPIP
HPIC
HPP
HPC
Deputy of the Desert
Deputy for the Desert
Deputy of the Oasis
Deputy for the Oasis
Chief Rabban
1st Lt. Commandress
Asst. Rabban
2nd Lt. Commandress
High Priest and Prophet
High Priestess
Oriental Guide
Recorder
Recordress
Treasurer
1st Cer. Master
1st Cer. Dt
2nd Cer. Master
2nd Cer. Dt
Captain of the Guard
Inside Spy
Outer Guard
Outisde Spy
Marshall
Mr
Mrs
Ms
Prefix
First Name
Last Name include suffix
Email Address
*
example@example.com
TEMPLE / COURT NAME AND NUMBER, OASIS AND DESERT
Temple/Court
*
Number
*
Oasis
*
Desert
*
Check Box to Register
*
prev
next
( X )
Gala Day Registration
$
210.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
For Registration Committee Only
TOTAL AMOUNT PAID
DOCUMENT NUMBER
Submit
Should be Empty: