4th Degree

73rd Spring Exmplification

REGISTRATION FORM

Northland Inn - Brooklyn Park

Current Members
Sir Knights Registration $5.00 ______
Friday Event $19.00 Ea ______
Dinner/Socal ______
Saturday A.M. Banquet $13.00 Ea ______
Main Banquet $30.00 Ea ______
Vegetarian Banquet $30.00 Ea ______
Ladies Luncheon$20.00 Ea ______
Total ______
Candidates
Exemplification Fee
(Includes One Banquet Ticket)
$70.00
Friday Event$19.00 Ea ______
Saturday A.M. Banquet   $13.00 Ea ______
Main Banquet $30.00 Ea ______
Vegetarian Banquet $30.00 Ea ______
Ladies Luncheon $20.00 Ea ______
Total ______
Make checks payable to: Good Shepherd Assembly #2604
Submit by April 1st, 2008 to:
Good Shepherd Assembly #2604
538 Cross Street
Anoka, MN 55303-2568

( Please Print )

Member/Candidates: _________________________________________________________

Spouse: ___________________________________________________________________

E-Mail Adress ______________________________________________________________