REGISTRATION
Name
*
First Name
Last Name
Title
Your District and Club Name:
District
Club Name
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Are you wishing to register an additional attendee:
Yes
No
Additional Attendee's Name:
First Name
Last Name
Are you a...
Lion
Leo
Guest
Additional Attendee, are you a...
Lion
Leo
Guest
Are you a first timer?
Yes
No
Additional Attendee, are you a first timer?
Yes
No
Will you require Braille Documents at the convention?
Yes
No
Additional attendee, will you require Braille Documents at the convention?
Yes
No
Payment Method:
Check
Credit/Debit Card
Do you want the Full Hospitality Book or Ala Cart Selection?
Full Hospitality Book - $160
Ala Cart Menu
Additional Attendee, do you want the Full Hospitality Book or Ala Cart Selection?
Full Hospitality Book - $160
Ala Cart Menu
Ala Cart Registration (Registration Fee is INCLUDED with any meal chosen)
*
Friday Night Social - $25
Saturday Breakfast - $30
Saturday Lunch - $35
Saturday Banquet - $55
Sunday Brunch - $30
Additional Attendee, ala Cart Registration
*
Friday Night Social - $25
Saturday Breakfast - $30
Saturday Lunch - $35
Saturday Banquet - $55
Sunday Brunch - $30
Saturday Banquet Option (included in Full Hospitality Book)
Stuffed Chicken
Roasted Pork Shoulder
Wild Mushroom Fettuccine
Additional Attendee's Saturday Banquet Option (included in Full Hospitality Book)
Stuffed Chicken
Roasted Pork Shoulder
Wild Mushroom Fettuccine
Special Dietary Needs:
Additional Attendee, Special Dietary Needs:
CONVENTION TOTAL: Make checks payable to Lions MD5M Convention | PCC Dennis Heinen | 12069 Bluegill Drive, Sauk Centre, MN 56378 *Cancellation fees apply - No Cancellations will be accepted after April 1, 2023*
USD
REGISTRATION CHECK OUT (USD) *Cancellation fees apply - NO Cancellations accepted after April 1, 2023
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( X )
Full Hospitality Book
(convention registration & all meals)
$
160.00
Saturday Banquet Dinner
Quantity
Stuffed Chicken
0
1
2
Roasted Pork Shoulder
0
1
2
Wild Mushroom Fettuccine
0
1
2
Ala Cart Item: Friday Night Social
$
25.00
Quantity
0
1
2
Ala Cart Item: Saturday Breakfast
$
30.00
Quantity
0
1
2
Ala Cart Item: Saturday Lunch
$
35.00
Quantity
0
1
2
Ala Cart Item: Saturday Banquet
$
55.00
Quantity
Stuffed Chicken
0
1
2
Roasted Pork Shoulder
0
1
2
Wild Mushroom Fettuccine
0
1
2
Ala Cart Item: Sunday Brunch
$
30.00
Quantity
0
1
2
Credit Card
Submit
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