Third District Convention - Delegate Fee - 2024

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Third District Convention - Delegate Fee - 2024

Use this form to pay your Delegate Fee - includes onsite lunch at the District Convention.

1. Amount

$97.00

2. Your information

First Name

Last Name

Country

Address

City

Postal code

Phone

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Employer

Occupation

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contributions are not tax deductible.

3. Payment information

Credit Card

Contribution rules - I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person. - I am at least eighteen years old.

I confirm that the above statements are true and accurate.

$97.00