2017 Exemplification Registration Form April 21-22, 2017 Mankato MN Assembly Number: _________ Assembly Name: ___________________ Completed by: ___________________ Title: _____________________ Phone: _______________ Candidate Section: $70.00 for candidates; $35.00 for Priests: (includes banquet, Social Baldric, and lapel pin) Send Form April 10. 4’s with 5 required signatures to District Master By Registration Fees Friday Night Banquet Name of Candidate $70 Dinner Total Reg or Veg ($35 Priests) @ $ 20.00 Friday Night Banquet Ladies Program Name of Candidate's wife/guest Dinner @ $35.00 Total @ 20.00 @ $20.00 Reg or Veg Members/Guests (Non-Candidate Section) SK Registration Friday Night Saturday Banquet Name of Sir Knight/Guest Fee Dinner Ladies Program @35.00 Total @$5.00 @ $20.00 @ 20.00 Reg or Veg Summary of Tickets Friday: _______ Ladies Luncheon: ______ Candidate Banquet: ______ Member/Guest Banquet: ________ Total Amount Submitted: $ Check # _________ ___________ Make Checks payable to: Craig Larson, District Master Send completed forms and payment to: Craig Larson, District Master PO Box 63 Dilworth MN 56529
2017 Exemplification Registration Form April 21-22, 2017 Mankato MN Assembly Number: _________ Assembly Name: ___________________ Completed by: ___________________ Title: _____________________ Phone: _______________ Candidate Section: $70.00 for candidates; $35.00 for Priests: (includes banquet, Social Baldric, and lapel pin) Send Form 4’s with 5 required signatures to District Master By April 10. Name of Candidate Registration Fees $70 ($35 Priests) Friday Night Dinner @ $ 20.00 Banquet Reg or Veg Total Name of Candidate's wife/guest Friday Night Dinner @ $20.00 Ladies Program @ 20.00 Banquet @ $35.00 Reg or Veg Total Members/Guests (Non-Candidate Section) Name of Sir Knight/Guest SK Registration Fee @$5.00 Friday Night Dinner @ $20.00 Saturday Ladies Program @ 20.00 Banquet @35.00 Reg or Veg Total Summary of Tickets Friday: _______ Ladies Luncheon: ______ Candidate Banquet: ______ Member/Guest Banquet: ________ Total Amount Submitted: $ ___________ Check # _________ Make Checks payable to: Craig Larson, District Master Send completed forms and payment to: Craig Larson, District Master PO Box 63 Dilworth MN 56529
Exemplification-Registration-Form-2017-Mankato.docx