YORK RITE SOVEREIGN COLLEGE OF NORTH AMERICA

                                          ANNUAL ASSEMBLY - CHARLOTTE, NORTH CAROLINA

                                                                                JULY 20-22, 2000

 

                                                                       REGISTRATION FORM

 

Name:________________________________________ Are you a 2000 Candidate Yes ______ No ______

 

Address____________________________________________________College No. __________________

 

City: _______________________State/Province____________________ Zip/Postal Code ______________

 

Daytime Phone: ________________ Ladies Name (only if attending) _________________________________

 

TRANSPORTATION

                                        PLEASE LIST DATE AND TIME OF ARRIVAL/DEPARTURE

 

I will be arriving by       Air _______                Car _______               Train _______             Bus ________

 

ARRIVAL:       Date:_____________              _________ Charlotte Douglas International Airport

 

                        Time:__________ A.M.     P.M.          Airline_________________ Flight No. ___________

 

DEPARTURE: Date:_____________              _________ Charlotte Douglas International Airport

 

                        Time:__________ A.M.    P.M.           Airline:_________________ Flight No. ___________

 

YES ________            NO ________ Hotel Reservation made with the Hilton Charlotte & Towers

 

YES ________            NO ________ Reservations in another name. 

 

If yes, specify name _____________________________

 

                                                                             REGISTRATION

 

PLEASE SPECIFY IF SPECIAL DIETARY REQUESTS ARE NEEDED:    

 

Thursday Associate Regents Dinner (open to all Companion Knights & Ladies)... ______ x $40.00 = __________

 

Friday K.Y.C.H. Breakfast (with Ladies)............................................................ ______ x $20.00 = __________

 

Friday Ladies Tour & Luncheon......................................................................... ______ x $35.00 = __________

 

Saturday Men’s Breakfast honoring Purple Cross Candidates.............................. ______ x $20.00 = __________

 

Saturday Men’s Luncheon.................................................................................. ______ x $25.00 = __________

 

Saturday Ladies Luncheon Recognizing Ladies of the Purple Cross Candidates.... ______ x $25.00 = __________

 

Saturday Grand Banquet..................................................................................... ______ x $45.00 = __________

 

Registration Fee.................................................................................................................. $20.00    __________

(Candidates and those attending only the Grand Banquet are not required to pay the $20.00 Registration Fee)

                                                                                       TOTAL ENCLOSED (U.S. Funds only) $__________

 

                                                       MAKE CHECK PAYABLE AND MAIL TO:

43 rd Annual Assembly

c/o  Kirby Matthews

P.O. Box 1004,

                                                                                Denton, NC 27239

                   

                             ALL REGISTRATION FORMS MUST BE RECEIVED BY JUNE 10

                                                      NO REFUNDS AFTER JUNE 20

                                          MAKE HOTEL RESERVATION DIRECTLY WITH HOTEL

                                                    BY CALLING (704) 377-1500 or (800) 455-8667