Register Here

March 14-16, 2025

Registration must be received by February 14, 2025. No Registration requests accepted after February 14, 2025.

No refund of fees for any cancellation after February 14, 2025

Items marked with an asterisk (*) are required.

Registrant Information

Your Name *

Registrant Title on Badge *

Your Email Address *

Your Phone Number *

Your District *

Your Lodge and Number *

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Spouse/Guest Information

Are you bringing a spouse or guest? *

Yes

Spouse/Guest District

Spouse/Guest Lodge Number

Attendance Dates

Arrival Date *

Departure Date *

Hotel Room Deposit and Registration Fees

No refund of fees for any cancellation after February 14, 2025

Do you want to reserve a room at one of our partner hotels? *

Reserve my room – $115

No room needed – $0

(Rates and information for our partner hotels are listed at the bottom of this form.)

Choose your hotel *

Handicap Room *

Yes

Comments

Registrant Fee (required to reserve room) *

Will you be attending an ER's Luncheon or PER's Luncheon? *

I will attend a luncheon – $20

I won't attend a luncheon – $0

Choose your luncheon *

Will your Spouse/Guest be attending an ER's Luncheon or PER's Luncheon? *

My Spouse/Guest will attend a luncheon – $20

My Spouse/Guest won't attend a luncheon – $0

Choose your Spouse's/Guest's luncheon *

Payment

Payment Summary

Service Fee (Hotel Deposit):

Service Fee (Registrant Fee):

Service Fee (Luncheon Fee):

Service Fee (Spouse/Guest Luncheon Fee):

Missouri Elks Spring 2025 Convention (305.02)

March 14-16, 2025

Registrant Information

Spouse/Guest Information

Attendance Dates

Hotel Room Deposit and Registration Fees

Payment

Capitol Plaza Hotel

Baymont Hotel

Quality Inn & Suites

Courtyard

Officer Training Signup Form

Committee Help Signup Form

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