GRAND
CHAPTER O.E.S. OF WISCONSIN
PRE-REGISTRATION FOR OUT OF STATE GUESTS
“SEASON
FOR BLESSINGS” SESSION
May 18-21, 2009
KI Convention
Center and Hotel Sierra
Green Bay,
Wisconsin
Pre-Registration
deadline ... May 16, 2009
No one will be presented more than
once. Please list all titles
DO
bring current signed dues card with you
Cancelled check
is your receipt
Registration will be held at the Registration Desk
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$10.00 Fee REGISTRATION “SEASON FOR BLESSINGS” SESSION $10.00
Fee
Check
for $10.00 per person payable to: GRAND CHAPTER O.E.S., WI
Send
check and completed form to: Judy Bessinger
S 3502B Asbury Road
Viroqua,
WI 54665
CHAPTER NAME ________________________________NUMBER______
LOCATION___________________________
NAME______________________________________________________________________________________________
ADDRESS_________________________________CITY______________________________ST______ZIP____________
PLEASE LIST COMPLETE TITLE FOR INTRODUCTION AT OUR SESSION
____General Grand Chapter Officer, Office________________________________________________________________________
____General Grand Chapter Committee,
Committee________________________________________________________________
____Worthy Grand Matron/Patron, Grand
Jurisdiction_______________________________________________________________
____Past Grand Matron/Patron, Grand
Jurisdiction__________________________________________________________________
____Grand Officer,
Office_______________________________________________Jurisdiction_____________________________
____District Deputy (or equivalent of) Jurisdiction_________________________________________________________________
____Grand Representative of
____________________________________________in
____________________________________
____Other _________________________________________________________________________________________________
Thank You Amount
enclosed ______________ Check # ___________________
--------------------------------------------------------------------please cut here--------------------------------------------------------------------
$10.00 Fee REGISTRATION “SEASON FOR BLESSINGS” SESSION $10.00
Fee
Check
for $10.00 per person payable to: GRAND CHAPTER O.E.S., WI
Send
check and completed form to: Judy Bessinger
S 3502B Asbury Road
Viroqua,
WI 54665
CHAPTER NAME ________________________________NUMBER______
LOCATION___________________________
NAME______________________________________________________________________________________________
ADDRESS_________________________________CITY______________________________ST______ZIP____________
PLEASE LIST COMPLETE TITLE FOR INTRODUCTION AT OUR SESSION
____General Grand Chapter Officer,
Office________________________________________________________________________
____General Grand Chapter Committee,
Committee________________________________________________________________
____Worthy Grand Matron/Patron, Grand
Jurisdiction_______________________________________________________________
____Past Grand Matron/Patron, Grand
Jurisdiction__________________________________________________________________
____Grand Officer,
Office_______________________________________________Jurisdiction_____________________________
____District Deputy (or equivalent of) Jurisdiction_________________________________________________________________
____Grand Representative of
____________________________________________in
____________________________________
____Other _________________________________________________________________________________________________
Thank You Amount enclosed ______________ Check # ___________________