144th Grand Parlor
Native Sons of the Golden West
PRE-REGISTRATION FORM

In order to avoid long lines at registration, we ask that all delegates and guests pre-register for the 144th Grand Parlor. The registration fee is $100.00 per person. Once you have pre-registered, you simply have to pick-up your packet at the registration desk. The packet will contain your badge and tickets to all events.

If interested in HPF Fundraising BBQ the cost is $35.00 and is separate from the registration charge for Grand Parlor.

The deadline for pre-registration is Friday, May 7, 2021. With your help and cooperation, registration for the 144th Grand Parlor will run smoothly and efficiently. Thank you! – Tom Perazzo, Grand Secretary, Registration Chair.

Each Registration Fee of $100.00 includes the following:
One (1) Banquet (Tuesday Night) per paid registration and Daily Continental Breakfast.

There is a $4.25 service fee added at total.

Name *

Position (choose one) *DelegateGrand OfficerPGPSDDGPCommitteeGuest

Title

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone *

Email *

Email

Confirm Email

Parlor Name and Number *

Name as you would like it to appear on badge *

Registration Fee *

Price: $ 100.00

HPF Fundraising BBQ $35.00(optional)

• Yes
• No

($45.00 at the door)

HPF Dinner

Price: $ 35.00

Service Fee *

Price: $ 4.25

Total Amount

$ 0.00

Stripe Credit Card Processing *

Card

Name on Card

Submit