2018 Florida-Georgia District Convention Registration
Use this form to register your attendance at the 2018 FLGA District Convention.
Title *
Required
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Daytime Phone Number *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Delegate/Participant Category *
Congregation Name *
Your answer
Congregation City *
Your answer
Congregation State *
Your answer
Special Needs (Dietary, Mobility, etc.)
Your answer
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