Registration Form

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Grand Court of Alaska
43rd ”Dream Big and Help one Another” Session
August 13-15, 2015
Registration Form
Name____________________________________________________________________________
Title____________________________________ Jurisdiction_______________________________
Name ____________________________________________________________________________
Title____________________________________ Jurisdiction________________________________
Address___________________________________________________________________________
Phone__________________________________ E-Mail_____________________________________
Arrival Date_____________________________ Airline/Flight #_______________________________
Departure Date __________________________ Airline/Flight #_______________________________
There is NOT a shuttle from the Anchorage International Airport to the Hotel.
travel itinerary to make this work.
We MUST have your
The Grand Court Van will provide transportation from Wednesday 12:00 noon through Sunday at
9:00 am
(Number)
Registration
Proceedings
$10.00 /Person_______________
$10.00______________________
(Amount)
__________
__________
Transportation: Includes: Airport, shopping, transportation to sessions and picnic
$25.00 /Person_______________
__________
Wednesday, Picnic Anchorage Zoo- Picnic at 6:00pm pick up from Hotel lobby starting at 5:00pm. Picnic is provided by
Grand Court members, fee is to cover your exceptional visit to Anchorage’s unique and spectacular zoo.
$10.00/Person_______________
__________
Friday, Luncheon: Please circle your choice
Lasagna Primavera, Seasonal vegetables tossed in herbed extra virgin olive oil, spinach, zesty marinara, ricotta cheese, and
Italian cheese blend,
Chicken Alfredo, Penne Pasta, creamy Alfredo sauce, savory marinated grilled chicken breast, diced tomatoes, chives and
Italian cheese blend
Lunch served with Caesar salad, dessert and beverage
$20.00______________________
__________
Friday Night (Formal) Banquet: Please circle your choice
Beef Bourguignon, So much better than beef stew…oven braised steak in a rich brown sauce with mushrooms and carrots,
seasoned with garlic, onion and thyme. Includes red skinned garlic mashed potatoes.
Teriyaki Orange Glazed Salmon, Delicious flaky salmon fillet topped with our tasty teriyaki orange glaze, served with rice
pilaf.
Dinner will have coleslaw, dessert and beverage
$25.00______________________
__________
Saturday Lunch: Wrap Combination: Lunch served with wraps, soup, dessert and beverage
Please circle your choice of soup:
Broccoli and Cheese soup Chicken Noodle soup
$20.00___________________
__________
Total due _________________
__________
For all Registration and Meals/Tours-Make Checks Payable to:
Grand Court of Alaska, P.O. Box 210694, Anchorage Alaska 99521-0694
(Please advise us of special needs, ie: Food, Wheelchair Assistance, etc.) Please Register By June 30, 2015
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