2021 Mid-year Meeting Registration

Please complete the Form below and press Submit when finished

(Look for a confirmation message after submission)

Name*
First Last
Phone*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Email*
Position held (if DD include your district number, DD33 for example)*
Meals required for self and guest
Enter the total number for each meal and add any that need to be Vegetarian or Gluten Free. For example "2 (1 GF)" would mean 2 meals total, of which 1 should be Gluten Free. (See Menu for Vegetarian Dinner Options)
Friday Dec 3rd
Dinner
Dinner salad, Chicken Pot Pie, Pumpkin Roll Dessert, Coffee orTea
Saturday December 4th
Breakfast
Eggs Benedict, Breakfast Potatoes, Fruit, Orange Juice, Coffee or Tea
Ladies Event
Pro-Life Speaker (see document for details)
Lunch (Ladies included)
Pulled Pork Sandwich w/Condiments on Side, Potato Leek Soup, Apple Crisp, Coffee or Tea
Dinner
Salad, Stuffed Chicken Breast, Baked Potatoe, Seasonal Root Vegetables, Dinner Roll, Chefs Choice Dessert, Coffee or Tea
Sunday December 5th
Breakfast
Pancakes, Sausage, Fruit, Orange Juice, Coffee or Tea
After pressing the Submit button, be sure to scroll to the bottom of this page to ensure your submission was accepted!

Meals required for self and guest