Third Quarter Conference:

The Dates: May 7-8, 2010, for the important part. Dinner and hospitality on Friday night, May 7, starting at 7pm.

The location for Friday & Saturday will be Southern Nazarene University, Bethany, Ok., Webster Commons Bldg., 6612 N.W. 42nd St.,Bethany, Ok. Map Here.

Complete the following form and submit it to let us know you are coming. We'll collect your registration fees at the door, or bill you, as you indicate.

Signup on-line:

First Name(1): A value is required.
Last Name(1): A value is required.
Email: A value is required.
Club Office(1):
Dist Office(1):
Phone: A value is required.
First Name(2):
Last Name(2):
Club Office(2):
Dist Office(2):
Street: A value is required.
City: A value is required.
State: A value is required.
Zip: A value is required.
Club Name:
Club Number: A value is required.
Member Reg: A value is required.
Friday Dinner: A value is required.
Dollars Due:
Payment:
 

 

Please print this page for your records before submitting. It will go straight to our database and your details will reside only there, once submitted.

If you need to register more that two people, please repeat the process as necessary.

Thank you for using the on-line signup page.