2019 Assembly Volunteer Registration Volunteer Registration 2019 Area Assembly This form is for members who wish to make themselves available during the Assembly as volunteers. 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 CommitteeVolunteer SchedulePlease select the time slot(s) that you are available. You may select more than one slot. Friday Morning Friday Afternoon Friday Evening Saturday Morning Saturday Afternoon Saturday Evening Sunday Morning Sunday Afternoon Elected position-select-DelegateAlt DelegateChairAlt ChairTreasurerAlt TreasurerAccessibility needsDeadline for special access requirement requests is September 1, 2019 NOTE: ASL and/or Spanish interpretation will only be provided if requested by members of the area committee 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 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 Questions?If you have questions about assembly volunteer registration, please contact: firstname.lastname@example.orgPhoneThis field is for validation purposes and should be left unchanged.