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2022 Mid Year Convention Registration

Please use the form below to register and pay online. We have integrated with Pay Pal which allows you to use all major credit cards as well as debit cards and e-checks. You do NOT need a Pay Pal account to use your credit/debit card. Simply click on the GRAY checkout button when you reach the shopping cart page. Please note, that once the form is submitted containing your registration data you cannot go back and change it. It is okay to submit the registration multiple times however. 

    Enter in the first and last name of the Elks member attending
    Enter the title of the member attending (e.g. Trustee, Member, Exalted Ruler,Esteemed Leading Knight)
    Enter the full name of the second person attending. It could be a spouse, guest, or a spouse who is also an Elks member.
    Enter in phone number in order to reach you if there are questions regarding the registration
    Enter an email address for which we can reach you in the event there is an issue with the registration
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