Citybandwagonhost

"JUMPONTHEBANDWAGON"SESSIONGRANDCHAPTEROFVIRGINIA,ORDEROFTHEEASTERNSTARMay21-23,2018–DoubleTreebyHilton,50KingsmillRd,Williamsburg,VAPRE-REGISTRATIONFORM:Oneformperpersonrequired;mustbepostmarkedbyMay1,2018(Youmaysendseveralregistrationformsinthesameenvelopewithonecheckpayingforallregistrants,aslongaseachpersonhasacompletedregistrationform.
)Pre-registrationfeeis$15.
00perperson.
Registrationonsiteis$20.
00perperson.
Pleaseprintinformationbelow.
NAMEJURISDICTIONMAILINGADDRESS:CityStateZIPPHONEE-MAIL_CHAPTERNAMEANDNUMBER:(VirginiaDualMembers:PleaseregisterundertheChapteryouarerepresenting.
)TITLEASOFMAY21,2018(checkboxnexttoappropriateofficeandcompletetitleinfoasnecessary)OFFICEXXTITLEGGCElectiveOfficerGGCAppointiveOfficerGGCCMGrandOfficerGGCDeputyorSpecialAppointmentGrandOfficerEmeritusGrandRepresentativeof:in(Jurisdictionyouarefrom)WorthyGrandMatronWorthyGrandPatronPastGrandMatronPastGrandPatronWorthyMatronWorthyPatronAssociateMatronAssociatePatronPastMatronPastPatronOther(pleasenotetitle)TOBEINTRODUCEDONMONDAYNIGHT,YOUMUSTPICKUPYOURREGISTRATIONPACKETBY4:00PMMONDAY,MAY21st.
Non-refundablepre-registrationfee(U.
S.
currencyonly)includedwiththisform:$15.
00.
Makecheckormoneyorder(U.
S.
currencyonly)payabletoGrandChapterofVA,OESMailcompletedform(s)andfee(s)to:FlorenceReese,Chairman-Registration1611BarnardsCoveRdVirginiaBeach,VA23455Phone:757-464-2492E-mail:florence.
reese@juno.
comDONOTSENDDUESCARDSWITHPRE-REGISTRATION.
DUESCARDSMUSTBEPRESENTEDONSITETORECEIVEATTENDANCECREDENTIALS.
Pre-registeredVirginiamembersmaygodirectlytoCredentialstopickuptheirpackets.
Out-of-statevisitorsmustcheckinattheRegistrationtable.
FOROFFICEUSEONLY:DateReceived:CheckNumber:DateForward