GRAND CHAPTER OF BRITISH COLUMBIA AND YUKON

ORDER OF THE EASTERN STAR SOCIETY

May 27^th, 28^th, 29^th, 30^th, 2007

Bear Mountain Arena

colwood, B.C.

DISTINGUISHED GUEST PRE-REGISTRATION FORM

ADVANCE REGISTRATION DEADLINE IS MAY 14^TH, 2007

PLEASE PRINT

NAME: (Last)                                                                          (first)                                                                            

TITLE: (Please give your title at the time of our Grand Chapter. e.g. General Grand Chapter title, Grand Chapter title)

Grand Jurisdiction:                                                                                                                                                   

Home Address:                                                                                                                                                        

City:                                                    State/Prov:                                         Zip/Postal Code:                              

TELEPHONE NUMBER: (        )___________________                 

Chapter Name:                                        Number:                  City/Town:                                                 

Present Chapter Title:                                                                                                                                

FEE: $25.00 CDN,  $23.00 US,   (non refundable) Please include with your Registration

PLEASE NOTE: 

·        Only one name per Registration Form. Please photocopy as necessary

·        You will be required to present your current dues card, which has been properly signed and showing the Seal of your Chapter, before you will receive your Grand Chapter session card.

·        Please do NOT send cash.  Cheques, Money orders or Bank Drafts MUST be made payable to Grand Chapter of British Columbia and Yukon O.E.S. society

You can request the Pre-Registration forms from the Grand Secretary or Print this Pre-Registration  form.  Please Contact the Grand Secretary  for mailing address. 

Remember the deadline for registration is May 14th, 2007. Late registrations will be taken at the Registration Desk

______________________________________________________________________________

For committee use only:

Date received:                                                           Cheque/money order/bank draft Number:                             Receipt Number                       ____