Convention Registration

Click here for a PDF version to download, fill in, print, and mail with payment
Alternatively, you may register online using the form below and pay via PayPal.

 

Church
First Name*
Last Name*
Address*
 
City*
State*
ZIP*
Phone*
Email*
Confirm Email*
First Name for Badge*
yesI am a convention delegate
I plan to arrive: SaturdaySundayMondayOther
yesI plan to attend the Sunday church service
yesI plan to attend the Sunday afternoon reception

Choices

Choices (make choices by checking box to the left) Cost My Cost
50Convention registration and badge fee 50  
50Monday Workshops (Presented by NSAC Service Clubs) 50  
50Banquet (Buffet dinner: Chicken Saltimbocca, Stuffed Shells, Sliced Roasted NY Strip Loin) 50  
35Thursday tour to Harley-Davidson Museum 35  
55Saturday tour to Original MPI Site and Lake Mills Underground Railroad 55  
yesHospitality Room Beverages and Snacks funded by your donations: $ Your
Donation
 
Cancellations are non-refundable Total $
Due