ST. LAZARUS CHAPTER GENERAL 2020: NIAGARA FALLS, ONTARIO MAY 28 – 31, 2020 REGISTRATION DETAILS (USE 1 FORM PER PERSON) Dr. Mr. Mrs. Ms. Rev. Bishop __________ Surname: ................................................................................. First Name: ..................................................................... Rank: ....................................................................................... Commandery: ................................................................. Name for Badge: ............................................................................................................................................................... Address: ............................................................................................................................................................................ Postal /Zip code: ................... City: ........................................... Prov/State:………………………………………………….. Phone: ..................................................................................... Country: ........................................................................... Email: .................................................................................................................................. Are you a Postulant? Yes Member / Postulant Non-Members / Guests Total Full Registration Thursday Grand Prior’s Reception Friday & Saturday - Educational Program $ 530.97+ 13% HST $ 530.97+ 13% HST $600 - Lunch - Vigil, AGM and Investiture - Oh Canada Eh? Dinner Show - Grand Magistral Gala Early Registration $ 508.85+ 13% HST $ 508.85+ 13% HST $575 - Deadline February 15th 2020 I will attend the Sunday Ecumenical N/C Service Optional Excursion – Thursday 6 PM $ 141.60+ 13% HST - Peller Estates Winery $ 141.60+ 13% HST $160 - 3 Course Dinner with Paired (Free for Postulant) Wines in the Barrel Cellar A La Carte for Non-Members & Guests only Oh Canada Eh? - Friday, May 29 at 6:30 PM $ 88.50+ 13% HST $100 - Dinner Show (included in full registration) VIP Niagara Parks Tour - Saturday May 30 8 - 12 Noon - Bus & Private Guide to White Water Walk, McKenzie Printery, $ 79.65+ 13% HST $90 Butterfly Conservatory (included in non-member/guest full registration) Grand Magistral Gala - Saturday May 30, 5:30 PM $ 177.00+ 13% HST $200 - Reception and Ball (included in full registration) Grand Total $ Signature Date Specific diet requirements (vegetarian, allergies …): ………………………….................................................................... Special needs (wheelchair access …), do not hesitate to inform the Registrar ……………………………………………………………………………. BOOKING YOUR ROOM(S) Rooms are limited. Book your hotel room(s) now to avoid disappointment at the Fallsview Marriott, Niagara Falls Call 1-888-501-8916 Reservation Code: 8885018916, Group name: Order of St. Lazarus of Jerusalem. Click: https://www.marriott.com/event-reservations/reservation-link.mi?id=1557153245725&key=GRP&app=resvlink - Use this link to book your room at the Chapter General reduced rate Note: Attempting to book your room(s) through their website may not allow you to book a room for the Chapter General online as the hotel has blocked off those rooms for this event, but the online reservations may show no rooms available. METHOD OF PAYMENT CHEQUE Cheque payable to: Order of St. Lazarus – Western Ont. Commandery E-TRANSFER [email protected] CREDIT CARD: MasterCard VISA Cardholder Total ........................................................... …………….…….…….(HST included 13%) Name: Amount: Security Code Card #: .................................... Expiry date: ................... .................................... (CVC): Date: .................................... Signature: .................................................................................................. SEND REGISTRATION FORM TO: Kimberly Griffiths MAIL: 5 Sunset Ave., Brantford, ON, CA N3T 5G1 SCAN AND EMAIL: [email protected] FAX: (905)-568-0307 DATA PROTECTION STATEMENT & PERSONALITY / IMAGE RIGHTS By submitting the registration form, the participant gives consent that St. Lazarus can process the data provided within the framework of the conference and allow photographs to be made during the conference. This includes, unless registered participants object, all handling needed for the applicant’s participation at the event and for the drafting of a list of participants which will be distributed at the conference, and placing photographs in the pictures gallery accessible only by participants and St. Lazarus members, in the St. Lazarus newsletter or selecting some for articles on the conference in a journal or newspaper, or in any other web/printed publication. 2 .