Assembly October 2022 Registration

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$15.00

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*Please complete 1 form per person.* Covers October 7th - 9th.

HOTEL ROOM RESERVATIONS - These are done separately before the deadline of 9/16/22 by calling 407-830-1985 or online by using the Hilton Hotel link on our Area website for this event: https://www.hilton.com/en/attend-my-event/nfaaf4-10072022-10092022/.
REFUNDS - Will be processed by Area check and must be received in writing to [email protected] prior to Saturday, 10/01/22. The request should include your name, mailing address, phone number, online order number, and/or date of registration in case there are any questions.
SUBSTITUTIONS - Should be emailed to [email protected] no later than midnight, Monday, 10/03/22.

Voting Member (please select one below) Yes No Not Sure - Please Contact Me

I'll bring my own... (please select one below) Badge & Lanyard Neither - I'll pick up both at registration table Lanyard Only

E-mail Address * Maximum of 100 characters

Phone Number * Maximum of 30 characters

District Number * Maximum of 30 characters

Comments/Questions (optional) Maximum of 200 characters

First & Last Name * Maximum of 50 characters

Name on Badge * Maximum of 50 characters

Group's Meeting Name (& Day) * Maximum of 100 characters

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