Grand Lodge Convention Application 2026

Grand Lodge 2026 Convention Application

July 5- July 8, 2026- Marriott Marquis Chicago
Applications and all payments must be submitted by Saturday, May 23, 2026
Name

First NameLast Name
Title

Other
Please select your Elks Lodge
Please select your District
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email

Confirmation Emailconfirm email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Number of persons in room:
What package are you selecting?
A = Amount of your package
Are you staying longer than the 4 night package (adding extra nights)?
You selected Saturday, July 4 - Wednesday, July 8, which night(s) are you adding?
You selected Sunday, July 5 - Thursday, July 9, which night(s) are you adding?
B = Amount of extra charges
A + B = Total amount of package and extra charges
What package are you selecting?
A = Amount of your package
Are you staying longer than the 4 night package (adding extra nights)?
You selected Saturday, July 4 - Wednesday, July 8, which night(s) are you adding?
You selected Sunday, July 5 - Thursday, July 9, which night(s) are you adding?
B = Amount of extra charges:
A + B = Total amount of package and extra charges (if any):
Prefer room with:
Handicapped/Wheelchair Accessible
If yes, what special needs do you require (room close to elevator, wheelchair accessible, other, please describe):
Choice of Entree for Monday's State Banquet - Person #1
Choice of Entree for Monday's State Banquet - Person #2
Payment:
If paying by check:
If paying by credit card:

Comments if needed:
Include dietary restrictions and any other comments. Be brief
Should be Empty:

Grand Lodge 2026 Convention Application

Applications and all payments must be submitted by Saturday, May 23, 2026

Grand Lodge Package + Extra Charges + $35 fee = Total Amount Due

Credit Card - Name on Card