Texarkana Convention 2026

INSTRUCTIONS

YOU MUST CHECK AT LEAST ONE REGISTRATION BOX PER PERSON. IF YOU ARE BRINGING YOUR SPOUSE OR PARTNER BE SURE TO GIVE US THEIR NAME. IF THEY ARE A MEMBER OF KIWANIS CHECK YES AND FILL OUT THE ADDITIONAL BOXES. IF YOU ARE BRINGING CHILDREN, CHECK THE NON-KIWANIS REGISTRATION.

IF YOU ARE A PAST GOVERNOR YOU ONLY HAVE TO CHECK THAT BOX. IF YOU ARE BRINGING YOUR SPOUSE INDICATE NUMBER AS 2. IF YOU ARE A WIDOW OF A PAST GOVERNOR YOU CAN USE THAT BOX ALSO.

ALL INDIVIDUALS ATTENDING MUST BE REGISTERED. BADGES ARE REQUIRED TO ATTEND WORKSHOPS AND MEALS.

BELOW THE REGISTRATION ARE THE MEALS. PLEASE SELECT THE NUMBER OF MEALS FROM THE DROPDOWN LIST THAT YOU WISH TO PURCHASE. DEADLINE TO ORDER FOOD IS JULY 12 AT 11:59PM. NO REFUNDS WILL BE ISSUED AFTER THIS DATE.

IF YOU HAVE ANY PROBLEMS WITH THIS FORM PLEASE CONTACT SUSAN OR MARSHALL AT TXOKDISTRICT@GMAIL.COM

Full Name

First NameLast Name

Kiwanis Club

Division

Unsure? Check here: https://tinyurl.com/txokkiwanisclubs

E-mail

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Position

Officer Title

Is your spouse/partner attending?

Spouse/Partner

First NameLast Name

If Member, Kiwanis Club

Division

Unsure? Check here: https://tinyurl.com/txokkiwanisclubs

Best Phone Number

Format: (000) 000-0000.

Position

Any Children Attending?

Name and Age

Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

My Products

Adult Early Bird Special Kiwanis Member

Good till May 31

$55.00

Partner - Kiwanis Member Early Bird

Good till May 31

$55.00

Non Kiwanis Member Early Bird

Good till May 31

$15.00 Quantity

Past Governor and/or Spouse

Free Quantity

Friday PLGA Luncheon

Meatloaf, Mashed Potatoes, Asparagus and Haricot Vert. Includes Salad and Dessert.

$48.00 Quantity

Saturday Memorial Event Sponsored by Texas Oklahoma Foundation

Coffee and pastries

Free Quantity

Saturday Foundation Luncheon

Chicken Breast, Rice Pilaf & Green Beans. Includes Salad and Dessert.

$48.00 Quantity

Governor's Dinner

Pork Chop with Cream Sauce, Oven Roasted Potatoes and Mixed Seasonal Vegetables. Includes Salad and Dessert.

$45.00 Quantity

Vegan Option

I will need a vegan choice for all my meals

Free Quantity

Spouse's Tour of Texarkana

On Saturday, July 25 join us for a tour of downtown. Guests will get to see the Ace of Clubs, Texarkana Museum, TRACH, and have lunch at GRIM. Cost of lunch is not included in price of ticket. The day will end at with a photo session at photographer island in front of the Federal Courthouse on Stateline.

$20.00 Quantity

Total

Address

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CityState / Province

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