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Friday, December 16, 2011
2012 Pre-Registration Form
KANSAS MOOSE ASSOCIATION
PRE-REGISTRATION FORM
MID YEAR CONFERENCE - February 16 – 19, 2012
ECONO LODGE, 1-800-362-0072
MCPHERSON, KANSAS
ROOM RATES WILL BE $63.99 PLUS TAX
Please be sure to mention that you are with Kansas Moose Association.
HOTEL REGULAR RATES WILL APPLY AFTER February 12, 2012

This form and checks payable to the Kansas Moose Association are requested by February 9, 2012 to be
mailed to

Bill Pierson, Secretary KMA
2909 N. E. Quincy St.
Topeka, Kansas 66617-1430

Name _____________________________ Lodge /Chapter Name & Number _______
Address ____________________________ City, State & Zip _____________________
Title _______________________________
Phone ______________________________ E-mail _____________________________
FUNCTION PRE-REGISTRATION ON SITE
Registration (LOOM only) _____@ $25.00 _________ $30.00
(Men Only - includes Social Room Privileges and Friday Game Night)
Social Room (WOTM only) _____@ $15.00 _________ $15.00
(Women Only - includes Social Room Privileges and Friday Game Night)
Legion Breakfast & Panel Session - (Men only - Pilgrims, Fellows, Moose Legion)
Saturday 8:30 AM Garden Room ____@ $9.25 ________ $11.00
Higher Degree Luncheon
(Men & Women Council of Higher Degree Members and Spouse or Significant Other)
Saturday 12:00 PM.
Garden Room ____@ $9.25_________ $11.00
Awards Banquet
Saturday, Cocktails 6:00 PM. / Dinner 6:30 PM.
Regency Room ____@ $22.00 ________ $24.00
Total $____________
Refund will be given provided the KMA Secretary is notified 48 hours in advance.
Friday Night Fun
All Meetings and meal Functions are Non-Smoking
Latest News
  • 01/16/2012 Mid-Year Agenda 2012
  • 11/24/2011 Who is a Qualified Family Member?
  • 08/26/2011 The Time Is Now to CREAT SOME INTEREST- in Retention
  • 12/28/2009 Top Association Criteria
More News
Tuesday, December 13, 2011
from Moose International


Secretary's Message
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President's Message
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Regional Manager's Message
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