M.W. Prince Hall Grand Lodge of Louisiana
Registration No.
(For Office Use Only)
2023 GRAND LODGE SESSION REGISTRATION FORM Annual Communication Baton Rouge, LA June 7-11, 2023
Name
Middle
First Name
Last
Address
Street
City
State
ZIP
Lodge
No.
District
Region
Position
Local [ ] Grand [ ]
Worshipful Master, Past Master, Etc.
Registration$
Date Sent
Received by
Date Received
Advance Registration Now through May 15, 2023, - $200.00 May 16, 2023, to May 31, 2023, - $225.00 June 1, 2023 through June 4, 2023, - $235.00. On-site registration will be $250.00 After May 31, 2023 - NO PERSONAL CHECKS WILL BE ACCEPTED - NO REFUNDS Please complete and mail to: Prince Hall Grand Lodge P.0 Box2974 Baton Rouge, LA 70821-2974 Make Check/Money Order Payable To: M.W. Prince Hall Grand Lodge of LA
Registration No.
M.W. Prince Hall Grand Lodge of Louisiana
(For Office Use Only)
2023 GRAND LODGE SESSION REGISTRATION FORM Annual Communication Baton Rouge, LA June 7-11, 2023
Name
Middle
First Name
Last
Address
City
Street
State
ZIP
No.
District
Region
Lodge
Position -----------------� Worshipful Master, Past Master, Etc.
Local [ ] Grand [ ]
Registration$ ____ Date Sent
Received by _____ Date Received ____
Advance Registration: Now through May 15, 2023, - $200.00 May 16, 2023, to May 31, 2023, - $225.00 June 1, 2023 through June 4, 2023, - $235.00. On-site registration will be $250.00 After May 31, 2023 - NO PERSONAL CHECKS WILL BE ACCEPTED - NO REFUNDS
Please complete and mail to:
Prince Hall Grand Lodge P.O Box2974 Baton Rouge, LA 70821-2974
Make Check/Money Order Payable To: M.W. Prince Hall Grand Lodge of LA
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