Ancient and Accepted Scottish Rite for the Thirty-Third and Last Degree of Freemasonry for the United States of America and Its Jurisdictions, Inc. Prince Hall Affiliated 2025 ADVANCE REGISTRATION FORM The advance Registration fee is $250.00. The On-Site Registration fee will be $300.00 . The registration fee includes one (1) luncheon ticket and one (1) banquet ticket.
USC-DC Grade:
First Name:
Initial:
Last Name:
Consistory/Assembly Name:
No.
Orient:
Title/Position: Street Address: E-mail: My Products : State:
City:
Zip Code:
Contact Number:
No. Requested
Amount
Extra Luncheon Ticket @ $70.00 Extra Banquet Ticket@ $100.00
$
$ TOTAL AMOUNT ENCLOSED : $ SPECIAL REQUEST OR NEEDS DURING SESSION
Are you handicap and/or require Special Assistance?
____ ____ ____
NO NO NO
Do you need a motorized scooter? Do you require Vegetarian meals?
Mail Form to: OFFICE OF THE SECRETARY GENERAL -USC DC Attn: Convention Department 1835 7th Street NW, #153 Washington, D.C. 20001 REGISTRATION AND PAYMENT INFORMATION
ADVANCE REGISTRATION ENDS: 30 NOVEMBER 2025 ($250.00) LATE REGISTRATION BEGINS: 1-21 DECEMEBER 2025 ($300.00) A copy of this advance registration form must be completed, mailed, and received by the Convention Department. Completed forms can be emailed to: uscdcsouvenirjournalcontract@gmail.com. Bank Drafts, Checks, and Money Orders are made Payable to: USC-DC .
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