Area 81 Fall Assembly & Roundup

Online Registration

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Registration Form

Please fill out the form below to register for the Area 81 Fall Assembly & Roundup.

Personal Information

Full Name *

Name on Badge *

Service Position / Group / District

Address

City

Province

Postal Code

E-mail Address *

Phone Number

Registration Type

Note: Banquet registration must be submitted at least three weeks before the event.

Full Assembly (Includes Banquet & Dance) $65.00

Partial Assembly (Dance & Meetings only) $25.00

Banquet Buffet Includes:

Baked Potato, Potato Salad, Coleslaw, Lettuce, Broccoli, Mushrooms, Green Peppers, Tomatoes, Celery, Carrots, Onions, Croutons, Cucumber, Cauliflower, Butter, Salad Dressings, Hot Peppers, Whole Wheat & White Rolls, and Dessert.

Dietary Needs

Regular (Chicken / Pork Buffet)

Vegetarian Tofu (TOFU Veggie Kabob)

Vegetarian Beyond (Beyond Meat Burger)

Payment Information

Cheque Payment

Make cheque payable to: District 2 AA

Mail to:
Area 81 Fall Assembly
Trans-Canada Highway 15216
New Haven, PE C0A 1H3

E-Transfer

For information and instructions on submitting payment via E-Transfer, please e-mail:
assembly@peiaa.ca

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