Florida State Elks AssociationFlorida Dinner at the National WWII Museum
1. Enter Personal Information
Lodge Name: Lodge Number:
 
First Name: Last Name:
   
Address: Address 2:
     
City: State: Zip:
 
Phone: Cell:
   
Email: Confirm Email:
     
     
2. Purchase FL Dinner Tickets - New Orleans Grand Lodge Convention
Purchase Florida Dinner Tickets - Tues. 7/15/14 - $75.00 each  
Dietary Requests: NOTE: Please provide any special dietary requests here.  
Names of persons who you are buying tickets for: NOTE: Tables seat 10. Please provide the names of all persons for whom you are purchasing a ticket including yourself.
 
3. Select Payment Type - Credit Card or Check if applicable