Inform the Delegate 4/5, 4/6
Assembly Registration Form
Name
First Name
Last Name
Email
example@example.com
District/Service Position:
Phone Number
Please enter a valid phone number.
Do you require:
Transportation
Homestay
Vegetarian
Saturday Dinner
Flight info: Airline
Date of arrival:
-
Month
-
Day
Year
Date
Arrival time:
Departure time:
My Products
prev
next
( X )
Assembly Registration "pay later" (please use Venmo @Claire-Hurst-2 or PayPal clairehurst69@gmail.com)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
Should be Empty: