Registration

Please complete the following 65th Annual Midwest Conference registration form, submit electronically, and with pay with PayPal or print the form and mail with payment to: Donald E. Mosier, 4541 Coventry Lane NE, Cedar Rapids, IA 52402-7028. Make checks payable to: Midwest Conference on Masonic Education. (Each Brother attending is required to submit a registration form.)

65th Annual Midwest Conference On Masonic Education

April 11-13, 2014

Cedar Rapids, Iowa

Full Name: *
Ladies Name:
Home Phone Number:
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Cell Phone Number:
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Ladies Cell Phone Number:
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E-mail:
Jurisdiction:
Registration before April 1, early registration discount (Masons Only)
Registration after April 1 (Masons Only)
Ladies Registration (includes Sat. trip to Amana, brunch, and transportation)
Friday Czech Style Supper
Saturday Breakfast Buffet
Saturday Lunch
Saturday Banquet (ladies at the table includes wine for toasts)
Sunday breakfast is on your own.


Special dietary needs:
Travel Arrangements
Arrival date:
Need pick up/Flight #:
Flight Arrival Time:
 :  : 
Pay with PayPal Total:

Complete form amd submit electronically with PayPal or print form and mail with payment to: Donald E. Mosier, 4541 Coventry Lane NE, Cedar Rapids, IA 52402-7028. Make checks payable to: Midwest Conference on Masonic Education. (Each Brother attending is required to submit a registration form.)