Department Midwinter Conference Registration
February 6-7, 2027
Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Post/Squadron Number
*
District Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I am registering as
*
Legionnaire
SAL Member
Days Attending
Saturday
Sunday
I am bringing one or more guests
*
Yes
No
Name(s) of Guests
NOTE: Each Legionnaire, Auxiliary and SAL member should submit a separate form and not be listed as guests.
Select and Pay
*
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next
( X )
Sunday Lunch
$30.00
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Complete Registration & Pay
Should be Empty: