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How many people are you registering?
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Fill in your registration information on this page. You will be able to enter the registration information for additional people after you complete this page and click "Continue".
State Convention Registration
First Name
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Last Name
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Country
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- select Country -
United States
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- select State/Province -
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City
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Postal Code
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Phone
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Agenda Format
*
Electronic
Large Print
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Who will be picking up your registration materials?
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Event Fee(s)
All-inclusive
*
All-inclusive
-
$ 200.00
Thursday - Breakfast
*
Breakfast - Continental Buffet
-
$ 0.00
Thursday - Lunch
*
Roast Beef
-
$ 0.00
Ham
-
$ 0.00
Turkey
-
$ 0.00
Veggie
-
$ 0.00
Thursday - Dinner
*
Tour of Italy Buffet
-
$ 0.00
Friday - Breakfast
*
Breakfast - Continental Buffet
-
$ 0.00
Friday - Lunch
*
Roast Beef
-
$ 0.00
Ham
-
$ 0.00
Turkey
-
$ 0.00
Veggie
-
$ 0.00
Friday - Dinner
*
South of the Border
-
$ 0.00
Saturday - Lunch
*
Turkey with Bacon
-
$ 0.00
Smoked Beef
-
$ 0.00
Avocado, Lettuce & Tomato
-
$ 0.00
Saturday Banquet Dinner
*
Stuffed Chicken Breast
-
$ 0.00
Vegetable Napoleon
-
$ 0.00
Sunday - Breakfast
*
Breakfast - Hot Buffet
-
$ 0.00
Total for this participant
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