2027 ILOH Annual Convention Form

2027 IALOH Convention Registration

May 27 - June 1, 2027
FORM AND PAYMENT MUST BE RETURNED BY APRIL 1, 2027
Make checks payable to "ILOH" and mail check to:

David Smith

Convention Registration Chairman

1018 SW Walter Ave

Lake City, FL 32024
Name

First NameLast Name
Noble Name On Badge
Title/Position
Shrine Temple
Lady/Guest Name

First NameLast Name
Lady/Guest Name On Badge
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Cruise T-Shirt Men Size
Cruise T-Shirt Ladies Size
Need shirt size by 3/15/2027
If you want to stay the night before the cruise please make your hotel resverations.

Hotel Information:

Spring Hill Suites, 652 US Highway 1, Newark, NJ 07114

Phone: 862-682-5360. King/Doubles $149.00. Ask for group code: ILOH
To select a convention item click the check box next to the item and enter the quantity.
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Convention Registration Fee
Registration Fee is per person

$45.00 Quantity



ILOH Commander's Coin
$12.00 Quantity



Henry Rifle Raffle Tickets
$10.00 Quantity



American Flag Blanket
$10.00 Quantity



50/50 Raffle
$10.00 Quantity



Total

$0.00
Additional Information
RESERVATIONS ARE NON-REFUNDABLE
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