2025 Arlington Pilgrimage Registration
FORM AND PAYMENT MUST BE SUBMITTED BY OCTOBER 1, 2025
Make checks payable to ILOH and mail to:
Dean Cook, 24350 Snowberry Drive, Lebanon, MO 65536
Name
First Name
Last Name
Lady/Guest Name
First Name
Last Name
IF YOU HAVE MORE THAN ONE GUEST COMING TO THE PILGRIMAGE ENTER THEIR NAMES IN THE ADDITIONAL COMMENTS SECTION
Title/Position - As of 1 November 2025
Shrine Temple/Unit
Arrival Date
-
Month
-
Day
Year
Date
Departure Date
-
Month
-
Day
Year
Date
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
Handicap Bus Required
Yes
If Other Type Of Transportation Is Required Enter In Space Below
Physical/Medical/Food Restrictions
Enter Check Number and Date
Note - Washington/Arlington Tour Is On Your Own
To select an item click the check box next to the item and enter the quantity.
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Registration Fee
Required for all attendees.
$
25.00
Quantity
1
2
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10
Arlington Commemorative Coin
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Commander's Coin
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Welcome Party
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Lady's Mimosa Brunch
Open to all ladies
$
35.00
Quantity
1
2
3
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5
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7
8
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10
Welcome & Memorial Service
$
Free
Quantity
1
2
3
4
5
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7
8
9
10
Bus To Arlington Cemetery
Indicate below if handicap or special transportation is needed.
$
15.00
Quantity
1
2
3
4
5
6
7
8
9
10
Wreath Laying At Tomb and Canadian Service
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Arlington Luncheon
Roast Turkey, Stuffing, Mashed Potatoes, Gravy, Seasonal Vegetables
$
35.00
Quantity
1
2
3
4
5
6
7
8
9
10
Additional Comments
Submit
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