Ceremonial Registration Fall 2022 Last Name First Name Lady’s Name Last Name First Name Lady's Name Message Address City/Province Postal Code Phone Temple Club/Unit Office Held Registration Fee + Candidate Fee Friday Meet & Greet 7:00 - 10:00 pm Coffee, light refreshments & bar will be open for a nominal fee Saturday Banquet (formal) 6:00 pm $40.00 per person for banquet and dance ADDITIONAL FEES FOR CANDIDATES ONLY (Normally paid with the Completed Initiation Form; however, there may be an unpaid balance) Initiation fee: $390 includes Fez and balance of 2022 Dues/Per Capita*/Hospital Assessment* *Per Capita and Hospital Assessment are paid in US Funds TOTAL PAYABLE All events to take place at the Al Shamal Shrine Centre Deadline for registration is March 29, 2022 - No refunds after March 29,2022 Payment Method Cheque Cash etransfer: office@alshamalshriners.org PW = Ceremonial Visa Master Card Cheques Payable to: Al Shamal Shriners and mail or drop off: Al Shamal Shriners 14511-142 Street NW, Edmonton, AB T6V 1H8 Hotels Nearby: Hampton Inn & Suites – 5855 Mistatim Way, Edmonton, T6V 0M8 ph 780-244-9015 Chateau Nova Yellowhead – 13920 Yellowhead Trail, Edmonton T5L 3C2 ph 780-454-5441 Send
