Advance Registration Form

Deadline February 14, 2020. There will be no on site Registration.

GIG/SP FEE $100.00
LOYAL LADY FEE $75.00

Registration ID:  6981593026
Registration Date:  2025/08/02

Important Instructions:

1.  If you are purchasing a Souvenir Ad, upload photo.

2.  Fill-in registration information

3.  Submit Registration/Souvenir Ad

4.  Save generated email for your records.

Photographs and Advertisements can be retrieved at COD.

DEMO
Robert W. Brown Council of Deliberation/Assembly
Advance Registration
NameConsistoryAssembly



Check appropriate box:
Email Address Phone Guest/Organization
Address City State/Zip
  

GIG/SP Title        LL Title  

Will Attend:   Yes No

Emergency Contact Name/Phone: