Grand Lodge 2024 Convention Application
June 30 - July 3, 2024 - Austin Marriott Downtown
Name
*
First Name
Last Name
Title
*
Exalted Ruler
Lodge Representative
Vice President
State Trustee
Other
Please select your Elks Lodge
*
Please Select
Asbury Park-Wall Lodge #128
Bayonne Lodge #434
Bayville Lodge #2394
Bergenfield Lodge #1477
Boonton Lodge #1405
Bordentown Lodge #2085
Bound Brook Lodge #1388
Brick Lodge #2151
Brigantine Lodge #2428
Carteret Lodge #2235
Cedar Grove Lodge #2237
Clayton Lodge #2132
Clifton-Garfield Lodge #1569
Clinton Lodge #2434
Closter Lodge #2304
Colonia Lodge #2282
Cranford Lodge #2006
Deerfield Townshp Lodge #733
Deptford Lodge #2708
Dumont Lodge #2593
East Brunswick Lodge #2370
East Hanover Lodge #815
Eatontown Lodge #2402
Edgewater Park Lodge #2550
Edison Lodge #2487
Egg Harbor Township Lodge #2563
Elmwood Park-Paterson Lodge #60
Flemington Lodge #1928
Freehold Lodge #1454
Galloway Township Lodge #2845
Greater Cape May Lodge #2839
Greater Essex Lodge #21
Greater Palisades Lodge #2475
Greater Wildwood Lodge #1896
Hackensack Lodge #658
Hackettstown Lodge #2331
Hamilton Lodge #2262
Harrison-East Newark Lodge #2326
Hasbrouck Heights Lodge #1962
Hightstown Lodge #1955
Hoboken Lodge #74
Howell Lodge #2515
Jackson Lodge #2744
Jamesburg Lodge #2180
Kearny-Belleville Lodge #1050
Keyport-Matawan Lodge #2030
Lacey Lodge #2518
Lake Hopatcong Lodge #782
Lakewood Lodge #1432
Lambertville Lodge #1070
Livingston Lodge #1855
Long Branch Lodge #742
Lyndhurst Lodge #1505
Madison Lodge #1465
Mahwah Lodge #1941
Manahawkin Lodge #2340
Manasquan Lodge #2534
Manville-Hillsborough Lodge #2119
Marlton Lodge #2514
Metuchen Lodge #1914
Middlesex Lodge #1488
Middletown Lodge #2179
Millstone Lodge #2613
Millville Lodge #580
Mount Holly Lodge #848
Mountainside Lodge #1585
New Brunswick Lodge #324
New Egypt Lodge #2457
New Milford-Teaneck Lodge #2290
North Arlington Lodge #1992
Nutley Lodge #1290
Oakland Lodge #2167
Old Bridge Lodge #2229
Paramus Lodge #2001
Park Ridge Lodge #2234
Parsippany-Troy Hills Lodge #2078
Passaic Valley Lodge #2111
Penns Grove Lodge #1358
Piscataway Lodge #2414
Point Pleasant Lodge #1698
Pompton Lakes Lodge #1895
Princeton Lodge #2129
Rahway Lodge #1075
Red Bank Lodge #233
Ridgefield Park Lodge #1506
Rutherford Lodge #547
Somerville Lodge #1068
South Amboy Lodge #784
South Orange Lodge #1154
South Plainfield Lodge #2298
Sparta Lodge #2356
Springfield/Hillside Lodge #2004
Stirling Lodge #2392
Summit Lodge #1246
Sussex Lodge #2288
Tenafly Lodge #2271
Toms River Lodge #1875
Trenton Lodge #105
Union Lodge #1583
Vineland Lodge #1422
Watchung Hills Lodge #885
Wayne Lodge #2181
Weehawken Lodge #1456
West Milford Lodge #2236
West Orange Lodge #1590
Westwood Lodge #1562
Woodbridge Lodge #2116
Please select your District
*
Please Select
Central
East
East Central
North
North Central
Northeast
Northwest
South
South Central
Southwest
Southeast
West Central
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
Confirmation Email
confirm email
Phone Number
*
Please enter a valid phone number.
Number of persons in room:
*
1
2
3
4
What package are you selecting?
*
4 Night Package #1 (1 Person) Saturday, June 29 - Wednesday, July 3 @ $1040
4 Night Package #2 (1 Person) Sunday, June 30 - Thursday, July 4 @ $1040
What package are you selecting?
*
4 Night Package #1 (2 People) Saturday, June 29 - Wednesday, July 3 @ $1270
4 Night Package #2 (2 People) Sunday, June 30 - Thursday, July 4 @ $1270
A = Amount of your package
*
If staying MORE than 4 nights, which night(s) are you ADDING to your package?
*
Thursday, June 27 @ $160
Friday, June 28 @ $160
Saturday, June 29 @ $160
Wednesday July 3 @ $160
Thursday, July 4 @ $160
Friday, July 5 @ $160
Not adding extra night(s) - $0
B = Amount of extra charges:
*
A + B = Total amount of package and extra charges:
*
Prefer room with:
*
1 Bed
2 Beds
No Preference
Handicapped/Wheelchair Accessible
*
No
Yes
If yes, what special needs do you require (room close to elevator, wheelchair accessible, other, please describe):
Choice of Entree for Monday's State Banquet - Person #1
*
Chipotle Orange Grilled Chicken Breast (GF)
Braised Short Rib
Maple Bacon Grilled Boneless Pork Chop (GF)
Vegetarian/Vegan - Sweet Potato Corn Cake (GF)
Choice of Entree for Monday's State Banquet - Person #2
*
Chipotle Orange Grilled Chicken Breast (GF)
Braised Short Rib
Maple Bacon Grilled Boneless Pork Chop (GF)
Vegetarian/Vegan - Sweet Potato Corn Cake (GF)
Not applicable
Choice of Entree for Monday's State Banquet - Person #3
*
Chipotle Orange Grilled Chicken Breast (GF)
Braised Short Rib
Maple Bacon Grilled Boneless Pork Chop (GF)
Vegetarian/Vegan - Sweet Potato Corn Cake (GF)
Not applicable
Payment:
*
Check
Credit Card
If paying by check:
*
Check - Full Amount
Check - Minimum Deposit $500
Check - Balance
If paying by credit card:
*
Credit Card - Full Amount - Add $35 fee
Credit Card - Minimum Deposit $500 + $35 fee = $535
Credit Card - Balance Due (No fee if paid with deposit, if not, add $35)
Credit Card Information
Comments if needed:
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