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Diana Pittman
About | Register | Registered Clubs

 


BANNER PARADE REGISTRATION FORM

NOTE:  If you experience problems, you can send information directly to
Diana Pittman District 25 Sergeant at Arms

Is my club already registered?

Name:

Educational Level:

   

Daytime Phone:

Nighttime Phone:
Email:
Registration: Yes - Our club will be participating in the Banner Parade at the District Conference on November 19, 2010.

No - Our club will not be participating in the Banner Parade at the District Conference on November 19, 2010.

Name of Club:
Club Officer:
(Choose all applicable) 

If this form is not working, please send an email with error details to the webmaster.

 


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