Past Director General & Chancellor Participation Form
Due Friday, March 29 .

2019 Past Director General and Applarian Chancellor Form

Primary Phone *
Primary Phone
Cell Phone
Cell Phone
Address *
Address
Purchase Documentary - $25 *
Please list number of copies you would like to purchase in special request section below.
Festival Ball- May 3rd $75/per ticket until March 29 - $85 after *
Full Dinner and Music Semi formal - No host bar Assigned seating. Please write in the special request section below with table list preference.
Kiwanis Pancake Breakfast - May 4th Tickets - $5 *
Please list how many tickets you would like to the Pancake Breakfast in the special request form below
Prime Parade Seating $5 - 1 Complimentary Past DG & Chancellor ticket *
Please list in the special request section below if you would like more than your 1 complimentary Past Director General or Past Appplarian Chancellor ticket.
Sign and Date
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