The National Grange of the Order of Patrons of Husbandry

Annual Convention Registration (Non-Delegate)


Personal Information (Please Print Clearly) Click here to download form
Name: ______________________________________________________________________________
Additional Names: ____________________________________________________________________
Address: ____________________________________________________________________________
City: ________________________________________ State: ___________ Zip: __________________
Phone: ( _________ ) _______________________________________
E-mail Address: ____________________________________________
Grange: _____________________________________ State Grange: ___________________________
Is this your first convention? Yes No
Functions and Events
   
Date
Time
Function
Cost
Number
Total
N/A
N/A
Convention Registration
$20.00
_________
$ _________
11/15
12:15
p.m.Deli Buffet
$19.00
_________
$ _________
11/16
7:30
a.m.Salute to Agriculture Breakfast
$19.00
_________
$ _________
11/16
12:15
p.mGrange in Action Luncheon
$22.00
_________
$ _________
11/17
8:00
a.m. Columbus Tour #1
$25.00
_________
$ _________
11/17
8:30
a.m. Youth Tour
$25.00
_________
$ _________
11/17
9:00
a.m. Columbus Tour #2
$25.00
_________
$ _________
11/17
12:30
p.mPast Delegates Luncheon
$22.00
_________
$ _________
11/17
6:00
p.m Youth Pizza Party (All Welcome)
$11.00
_________
$ _________
11/18
7:00
a.m. Continental Breakfast
$5.00
_________
$ _________
11/18
12:15
p.mGROW Club Luncheon
$22.00
_________
$ _________
11/19
9:30
a.m Junior Breakfast & Super JG Award Recognition
        Adult
$15.00
_________
$ _________
        Child (2 - 10)
$10.00
_________
$ _________
11/19
1:30
p.m Junior Tour with bag lunch
$10.00
_________
$ _________
11/19
6:30
p.mGrange Celebration Banquet
        Adult
$29.00
_________
$ _________
        Child (2 - 10)  
_________
$ _________
Total
$ _________
Total Enclosed
$ _________


*Please note:
This is a registration form for convention activities only. Hotel reservations must be made separetely. Click here for Hotel Reservations

**Please note: Meal tickets will not be mailed. They will be available for pick up at the Convention Office.

***Please note: Convention Registration is $20 per person. You must register for Convention for admittance to An Evening of Excellence and Seventh Degree Conferral .

****Please note: Make checks payable to the National Grange.

Mail Convention Registration to:
Fax Convention Registration to:

 

 

1616 H Street, NW
Washington, DC 20006

 

 

202-347-1091
Deadline is October 19th

Seventh Degree Questionnaire

Do you plan on attending the Seventh Degree?
Yes
No
 
Which time would you prefer?
11:00 am
2:00 pm
either
Will you be a candidate at the Seventh Degree?
Yes
No
 
Do you need to take the Sixth Degree at convention?
Yes
No
 
The Sixth Degree will be held at 10:00 a.m only

*Please note these questions are for planning purposes only, registration to take the
Seventh Degree is required.

 

 

NATIONAL GRANGE OF THE PATRONS OF HUSBANDRY
1616 H Street NW • Washington, DC 20006
(888) 4-GRANGE • (202) 628-3507 • Fax: (202) 347-1091
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