NCDA Devotional & Fun Day - Registration Form

N.C.D.A. Devotional Day 2008

CHAPTER/BETHEL/ASSEMBLY:

CONTACT PERSON:

ADDRESS:

E-MAIL ADDRESS:

CITY:
STATE: ZIP:

PHONE NUMBER:

LIST ATTENDEES:

PERSON'S NAME NEW MEMBER? DeMOLAY or ADULT GUEST?
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

PRICING INFORMATION:

Number of Members or Adults @ $35.00 ($45.00 after 3/16/08) = $

Number of Parking Passes @ $5.00 = $

TOTAL AMOUNT DUE = $

CREDIT CARD INFORMATION:

VISA MASTER CARD Credit Card #: ---

CHAPTER CHECK Expiration Date:

SPECIAL NOTES

Click here for directions to the Marine World
You may also buy tickets from any of the N.C.D.A. Officers.
Ticket cost goes up to $45 each AFTER March 16th. Parking cost is $15 UNLESS you buy a special DeMolay parking pass for $5 by March 16th

You'll need to order your $5 parking passes PRIOR to DEVO DAY so they can be mailed to you. They will NOT be sold at DEVO DAY

CHAPTER/BETHEL/ASSEMBLY:
CONTACT PERSON:
ADDRESS:
E-MAIL ADDRESS:
CITY:	STATE:	ZIP:
PHONE NUMBER:

PERSON'S NAME	NEW MEMBER?	DeMOLAY or ADULT GUEST?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Number of Members or Adults	@ $35.00 ($45.00 after 3/16/08) =	$
Number of Parking Passes	@ $5.00 =	$
	TOTAL AMOUNT DUE =	$

VISA MASTER CARD	Credit Card #: ---
CHAPTER CHECK	Expiration Date: