Conclave 2010 On-line Registration
  IMPORTANT NOTE: Only Chapter Advisors are authorized to register
chapter members and chapter Sweethearts.
 
 
Registrant Information:
Name:
Address:
City:
State:
Zip:
Phone:
Age (Non-Advisors):
Chapter:
Title or Office:
Affiliation:


Advisor Information:
Name of Responsible Advisor or Chaperone:


Room Details:
Desired Roomates:          


Registration is a financial obligation and the responsibility of the individual registering. Do not register online if you are uncertain of your attendance and payment arrangements. Only Chapter Advisors may make this commitment for chapter members and chapter Sweethearts.

Late Fees: $15.00 per registrant for registration postmarked after April 1, 2010

Payment Information:
Registration Fee: Youth - $210.00       (4 to a room)
Adult -  $225.00       (2 to a room - no youth)
Stand-alone Option   (Select as many as you need below)
Stand-alone options:
Saturday SMC Banquet - $30.00
Sunday Breakfast - $20.00
Additional information, special needs, reason for registration credits, etc.:
Registration Credit: $
Payment Method:   Pay with Chapter
  Mail seperate check - with copy of confirmation
  Credit Card - via PayPal - no PayPal account required
  Credit Card - Through DeMolay Office on Thursdays


Confomation Details:
Person who is subitting this form:
eMail Address of submitter:
eMail Address of submitter: Confirm


Confirm your Human by entering code:

Reload Image

    Code:
    
© 1999-2010 Oregon DeMolay