2020-21 Arizona Optimist District Conference Registration Form
4th Quarter
Email *
Full Name *
Phone # *
Club Name *
Is this your first Arizona District Conference? *
How many Member registrations - ($20)? *
Additional Member names
How many Guest Registrations ($5)? *
Guest names
How many sandwich buffet lunches - not available anymore
How many Grilled Chicken dinners - not available anymore
How many Grilled Pork Chop dinners - not available anymore
How many Sunday Breakfasts - not available anymore
Will you attend the PGA dinner (Friday night - invitation only) *
Notes/Special Needs
Payment Information
If paying by credit card, use the following URL (copy and paste into your browser). Don't forget to add the $3 credit card processing fee.


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