Aal-Pa-Tah Lodge 237 - Registration

Event Registration / Fast Pass and Dues Purchases

Aal-Pa-Tah Home » Member's Area » Registration

Instructions: This is step one in the registration process. Your purchase information will be sent to Council for processing. You must still contact the Council office to handle payment. Information on how to do this will be on the next page (after you hit Register). (* Required)

Section S-4 Conference Registration


First Name*
Middle Initial
Last Name*
Email Address*
Phone Number*
Age*
Gender*
Unit Number*
District (Chapter)*
Would you like your name on your T-Shirt(s)?
How many extra T-Shirts would your like? ($15 each)
Membership Level*
Transportation*
What City do you Live In?*
Kind of Car*
Car Year*
Car Make*
Number of Seat Belts*
Owner's Name*
Driver's License #*
Will Everyone Wear a Belt?*
Insurance Liability Coverage Per Person*
Insurance Liability Coverage Per Accident*
Insurance Coverage for Property Damage*
Bus	Your registration cost will be $25 for the event and an additional $45 for the bus.
Privacy Policy: No information collected by this page will ever be sold or distributed. This information will only be used by the Lodge Keeper of the Records and by the Council Office to register you for an event.

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