Fall Conference Convention 2026 Application

Fall Conference Convention 2026 Application

November 13 - November 15, 2026 - Ocean Place Resort & Spa, Long Branch, NJ
Application must be submitted by Sunday, November 1, 2026
Name

First NameLast Name
Title

Other
Please select your Elks Lodge
Please select your District
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email

Confirmation Emailconfirm email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of persons in room:
What package are you selecting? 1 Person
What package are you selecting? 2 Persons
Hotel check-in time is 4:00 PM. Early check-in may be available but not guaranteed. Please plan accordingly.
A = Amount of your package
If staying MORE than 2 nights, which night(s) are you ADDING to your package?
Will you be requesting a room for a Hospitality Room?
In the Hospitality Room, would you prefer:
If requesting a Hospitality Room, please add $408 (check) or $422 (credit card) for a 2 Night Package (Friday and Saturday nights). This room will be adjoining or next to your room and you will be responsible for it. Please remember that no one may stay in this room and there are no event tickets given with the room.
B = Amount of extra charges:
A + B = Total amount of package and extra charges:
Prefer room with:
Handicapped/Wheelchair Accessible
If yes, what special needs do you require (room close to elevator, wheelchair accessible, other, please describe):
Your package includes: Two nights lodging (Friday and Saturday), taxes, fees, parking, Friday Picnic Party, Saturday Luncheon, and Saturday Banquet (make choices below).
Choice of Entree for Saturday's State Banquet - Person #1
Choice of Entree for Saturday's State Banquet - Person #2
Event Only Options - Complete only if you are NOT making room reservations and are planning to attend any function listed below.
Friday Picnic Party @ $93 Check per person $97 Credit Card per person
C = Amount of Friday Picnic Party
Saturday Luncheon @$40 Check per person $42 Credit Card per person
D = Amount of Saturday Luncheon
Choice of Entree - Saturday Banquet - Person #1 @ $113 Check $118 Credit Card
Choice of Entree - Saturday Banquet - Person #2 ($226 Check $236 Credit Card)
Choice of Entree - Saturday Banquet - Person #3 ($339 Check $354 Credit Card)
E = Amount of Saturday Banquet
Amount Owed for Single Events
Payment:
Make check payable to: New Jersey State Elks Association

Please mail check for full amount to:

Maureen Whalen

10 Doris Place

Bloomfield, NJ 07003

Deadline: October 31, 2026

Comments if needed:
Include dietary restrictions and any other comments. Be brief.
Should be Empty:

Fall Conference Convention 2026 Application

Application must be submitted by Sunday, November 1, 2026

Add all credit card charges:

Credit Card - Name on Card