GRAND
CHAPTER O.E.S. OF WISCONSIN
PRE-REGISTRATION FOR THE “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
Registration
will be held at the Registration Desk.
Cancelled check is your receipt
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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_____________________________________________________________________________________________
TITLE(S)___________________________________________________________________________________________
TITLE(S)___________________________________________________________________________________________
ADDRESS______________________________________CITY___________________________ST_____ZIP_________
Check All That Apply: GO______
PGM______ PGP______ FEGO______
WM ______ WP ______ AM______ Past
Matron______ Past Patron_____ Life Member______ ($10.00) Non-Voting Life Member______($0.00)
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_____________________________________________________________________________________________
TITLE(S)___________________________________________________________________________________________
TITLE(S)___________________________________________________________________________________________
ADDRESS_________________________________CITY___________________________ST_____ZIP_______________
Check All That Apply:
GO______ PGM______ PGP______
FEGO______ WM______ WP______
AM _____
Past Matron _____ Past Patron ______ Life Member______ ($10.00)
Non-Voting Life Member______($0.00)
Amount enclosed $_________ Check # ________