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 & NumberTitleSpecial meal requirements, if any:Spouse's / Guest's Name First Last Special meal requirements of spouse, if any:EventsIf attending the following events, indicate the number of guests below.Thursday Dinner - EXECUTIVE BUFFET Quantity Price: $52.00 Quantity DoubleTree Salad, Garlic Mashed Potatoes, Penne in Alfredo Sauce Parmesan, Seared Salmon, Sliced Beef Shoulder Tender, Asiago Chicken Breast, Assorted Dessert Bars, Regular & Decaffeinated Coffee, Hot TeaFriday Men & Ladies Lunch - DELI BUFFET Quantity Price: $27.00 Quantity Soup du Jour, Thinly Shaved Roasted Turkey, Smoked Ham, Roast Beef, and Genoa Salami Cheddar, Swiss, Provolone, and American Cheeses, Lettuce, Tomatoes, Onions, Condiments, and Pickles, Assorted Breads and Rolls, House-made Potato Chips, Assorted Cookies & Brownies, Decaffeinated Coffee, Hot TeaLadies Program Check here if attendingStarts at 11:00 AM - NO CHARGEFriday Night DinnerAll meals include: Rolls and Butter, Caesar Salad, Lemoncello Mascarpone Cake, Regular and Decaffeinated Coffee, Hot TeaHerb Roasted Pork Loin Quantity Price: $38.00 Quantity with Apple Cider Reduction, served Butternut Squash, and Seasonal VegetablesFillet of Sole Quantity Price: $42.00 Quantity with Saffron-Lobster Cream, Spinach, and Caramelized Shallots, served Saffron Orzo Pilaf, Seasonal VegetablesSeared Strip Steak Quantity Price: $52.00 Quantity with Roasted Pepper Relish and Cabernet Demi- Glace, served with Potato Gratin and Seasonal VegetableSaturday Red Cross of Constantine Breakfast Buffet (MEMBERS ONLY) Quantity Price: $26.00 Quantity Assorted Breakfast Bakeries with Fruit Preserves, Honey, Buter, Sliced Seasonal Fruit, Scrambled Eggs, Applewood Smoked Bacon, Sausage Links, Breakfast Potatoes, French Toast with Butter & Syrup, Orange, Apple, & Cranberry Juices, Regular and Decaffeinated Coffee, Hot TeaTotal $0.00 Credit CardCard Details Cardholder Name
