2025 Ladies Conference Application
Contact Info
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Age
*
15-25
26-35
36-45
46-55
56+
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Next
Lodging
Lodging
*
4 ladies to a room (Cost: $250 per person)
3 ladies to a room (Cost $300 per person)
2 ladies to a room (cost $350 per person)
1 lady to a room (cost $400 per person)
Roommate(s) Full Name (Please add one line per roommate with their full name)
Please list Special Needs/Handicaps:
Back
Next
Please choose either Deposit Only or Full Payment. If Full Payment is made, deposit is not required. Tee-Shirt selection is optional below.
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next
( X )
Deposit Only
Please select this only if full payment is not made today.
$
75.00
Quantity
1
2
3
4
5
Item subtotal:
$
0.00
Full Payment
Please confirm how many ladies are in your room. **Please note this cost includes room fee and online processing fees.
$
257.56
Ladies in Room
4
3
2
1
Item subtotal:
$
0.00
Tee-Shirt
Note: sizes run small
$
25.00
Size
Quantity
Price
S
1
2
3
4
5
6
7
8
9
10
$
25.00
M
1
2
3
4
5
6
7
8
9
10
$
25.00
L
1
2
3
4
5
6
7
8
9
10
$
25.00
XL
1
2
3
4
5
6
7
8
9
10
$
25.00
XXL
1
2
3
4
5
6
7
8
9
10
$
28.00
XXXL
1
2
3
4
5
6
7
8
9
10
$
28.00
Item subtotal:
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please Note:
Online Payments are subject to a Debit/Credit Card Processing Fees.
Submit
Should be Empty: