Grand Convocation Reservations Name* First Last Suffix Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Email* Enter Email Confirm Email Chapter Name & Number Title Spouse's / Guest's Name First Last EventsIf attending the following events, indicate the number of guests below.Thursday Night Banquet Price: $45.00 Quantity: Hors D Oeuvres, Mixed Greens Salad, Lemon and Herb Chicken, Texas Style Sliced Brisket, Saint Louis Style Pulled Pork, Cole Slaw, Classic Mac-N-Cheese, Cornbread, and DessertFriday Lunch Deli Buffet (Companions and Guests) Price: $27.00 Quantity: Soup Du Jour, Mixed Green Salad, Thinly Shaved - Roasted Turkey, Smoked Ham, Roast Beef, Genoa Salami, Swiss Cheese, Provolone Cheese, American Cheese, Sandwich Topping and Condiments, Bread and Rolls, House-made Potato Chips, Double Tree Chocolate Chip CookieFREE Program for Guests (before lunch) My spouse will be attendingSaturday Breakfast - Red Cross Breakfast (Must be a member) Price: $22.00 Quantity: Assorted Breakfast Bakeries with Fruit Preserves, Honey, and Butter, Sliced Seasonal Fruit, Applewood Smoked Bacon, Sausage Links, Breakfast Potatoes, Scrambled Eggs with Cheddar and Herbs, Orange Juice, Apple Juice, and Cranberry Juice, Coffee, Decaffeinated Coffee, and Herbal Hot TeasFriday Night Dinner (Cash Bar)All entrees served with Hors D Oeuvres, Double Tree Salad, and Crème BruleSeared Petite Filet Mignon Price: $55.00 Quantity: Topped with Braised Short Ribs, Potato Gratin, Seasoned Vegetables with Braising ReductionPan Seared Cod Filet Price: $46.00 Quantity: with Roasted Cauliflower, Red Onions, Capers Brown Butter, Herb-Scented RicePan Seared Chicken Price: $37.00 Quantity: with Mustard Crème Sause, Roasted Carrots, Crispy Fingerling PotatoesTotal $0.00 Credit CardCard Details Cardholder Name
