Jaycees Convention Registration - Fall 2019
Please complete this form to register for the Maryland Jaycees 2019 Fall convention. Questions? Contact Alexus Viegas, VP of Membership, at alexusviegas@mdjaycees.org
Name *
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Address *
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Chapter *
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Phone Number *
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Title
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Email *
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What would you like to register for? *
Do you have any food allergies or dietary restrictions? *
Your answer
Would you like to attend a Distillery tour of Seacrets on Saturday, October 5, at lunchtime? *
How will you be paying? *
Do you need a hotel room under the discounted block? If yes, please call 800-926-1122 by September 4. *
Anything else we need to know?
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