2024 MWPHGLIA Registration Form

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Electronic registrations will not be finalized until payment is received by the RWGS.

Email *

Name *

Title *

Lodge *

I am registering *

Extra Banquet Ticket(s) *

Extra Lunch Ticket(s) *

Please enter your total due on the line below. *

Pay electronically via the Zelle App: at princehallgrandlodgeofiowa@gmail.com. Please include your name and contact information in the memo section.

or mail check to: RWGS Kenneth F. Reed, 4228 Topaz Avenue N.W., Cedar Rapids, IA 52405

Contact the RWGS: Cell (319) 431-4228

A copy of your responses will be emailed to the address you provided.

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