2019 Area 72 Assembly Registration Registration 2019 Area Assembly 2019 Area Assembly online registration form Have you already registered for the assembly?If you already registered, and need to add meals to your registration, check the box below. Otherwise, ignore this step. Yes, I have previously registered. Name* First Last Preferred name on badgeAddress* Street Address City State / Province / Region ZIP / Postal Code Phone*Email* District number*-select-12347891011121415161718192122242728293132333435363738394041424344454654555657Home Group*Service position*-select-GSRAlt GSRDCMAlt DCMElectedAppointedPast DelegateVisitorVolunteerHost CommitteeElected position-select-DelegateAlt DelegateChairAlt ChairTreasurerAlt TreasurerAccessibility needsDeadline for special access requirement requests is September 1, 2019 ASL Interpretation Spanish Interpretation Wheel Chair Access Other Other accessability needsRegistration - $45.00*Registration pays for rent and expenses of hosting the assembly. Per motion 90.2, payment of the registration fee is voluntary. If you cannot pay the registration fee, or if you are a volunteer, please select "No pay registration" below. Pay registrationNo pay registrationMealsMeal purchase deadline is September 20th, 2019. Friday Pizza & Salad - $13.50Friday Dinner: NoneFriday Dinner: YesFriday Dessert Social - $6.50Friday Dessert: NoneFriday Dessert: YesSaturday Lunch - $15.00Lunch: NoneLunch: VeggieLunch: Roast BeefLunch: TurkeyLunch: Chicken Caesar SaladSaturday Dinner Buffet - $27.00Saturday Dinner Buffet: NoneSaturday Dinner Buffet: YesSunday Breakfast Buffet - $17.00Sunday Breakfast: NoneSunday Breakfast: YesTotal $0.00 PaymentCredit Card American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name VolunteersIf you are interested in volunteering for the 2019 Assembly, please use the online Volunteer Registration Form. You will have the ability to select time slots you are available, as well as order meals. Questions?If you have any questions for the Host Committee Chair, Area 72 Alternate Chair, Treasurer, Registration, or Volunteer Coordinators, please contact us at: firstname.lastname@example.orgNameThis field is for validation purposes and should be left unchanged.