2020-21 Arizona Optimist District Conference Registration Form
1st Quarter
Email address *
Full Name *
Phone # *
Club Name *
Is this your first Arizona District Conference? *
How many Member registrations - ($10)? *
Additional Member names
How many Guest Registrations ($5)? *
Guest names
How many Southwest Fajita Bar lunches ($20)? *
How many Bistro Steak (similar to sirloin) dinners ($10)? *
How many Chicken Piccata dinners ($10)?
Notes/Special Needs
A copy of your responses will be emailed to the address you provided.
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