2025 Convention Registration Form

Name *
Address *
Phone *
Email *
Lodge *
List Any Special Request (Dietary, Mobility, Etc.)
Check Appropriate Box *	Delegate Non-Delegate Alternate Delegate Ticket to The Grand Ball Only $200
Registration Fee *	Early Bird Registration $500 (before June 14) Regular Registration $600 (June 15 - July 15) Late Registration $650 (after July 15)

Click here for the fillable PDF form if you prefer to download the PDF form to:

1. Print and send by mail, or

2. Fill out and manually email to John Wong.

If you want to put advertisements on the 2025 Convention Booklet, click here for the Advertiser's fillable PDF form