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2021-22 Arizona Optimist District Conference Registration Form
1st Quarter
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Phone #
*
Your answer
Club Name
*
Your answer
Is this your first Arizona District Conference?
*
Yes
No
How many Member registrations - ($20)?
*
Choose
0
1
2
3
4
Additional Member names
Your answer
How many Guest Registrations ($5)?
*
Choose
0
1
2
3
4
Guest names
Your answer
How many sandwich buffet lunches - not available anymore
Choose
0
How many Grilled Chicken dinners - not available anymore
Choose
0
How many Grilled Pork Chop dinners - not available anymore
Choose
0
How many Sunday Breakfasts - not available anymore
Choose
0
Will you attend the PGA dinner (Friday night - invitation only)
*
Choose
No
Yes
Notes/Special Needs
Your answer
Payment Information
If paying by credit card, use the following URL (copy and paste into your browser). Don't forget to add the $3 credit card processing fee.
https://optimist-international-31999-arizona-district.square.site/
A copy of your responses will be emailed to the address you provided.
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