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