Region 2 & 3 Joint Summit 2012 Registration
(Prices good through March 1, 2012.)

Registration
Type
Cost
No. Needed
Regular Membership (14+)
$35.00
Youth (6-13) with adult paid membership
$10.00
Kids (0-5) with adult paid membership
$0.00
Saturday Banquet Registration
$29.60

First Name
Last Name
Chapter
Region
SCC Number (Primary)
Information for badges
format: Name/Rank/Position <Youth/Kid, if applicable> (multiple members separated by semi-colon
ex: Joe Snuffy/PVT/Chief Cook and Bottle Washer; John Snuffy/CDT <Youth>
Contact Phone
E-mail
Street Address
Address (Cont'd)
City
State
Zip Code
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Pay Pal Payment Option

Regions 2 & 3 have set up a Pay Pal Account to make it easier for you to pay for your Joint Summit 2012 Registration. If you would like Region 2/3 to bill you for your Joint Summit 2012 registration via Pay Pal, please click on the appropriate box below. Not clicking on one of the following boxes indicates that you will be sending in your payment (Check or Money Order) via the US Postal Service by February 25, 2012. Also, upon registration, you will be subscribed to the Joint Summit 2012 Mailing list for discussion and distribution of updates.

NOTE: You will need to disable any popup blockers or allow for www.region3.org for the Pay Pal link to work.

YES, bill me via Pay Pal
NO, do not bill me

For more information on Pay Pal go to www.paypal.com.

Registration Confirmation

You will should receive a confirmation e-mail soon. Please print out this confirmation e-mail and mail it along with your payment (unless you paid with Paypal). All payments for food/banquet items must be mailed or received by the Region by March 1, 2012. Only Registrations with NO food may be accepted at the event. Make your check or money order payable to "R2R3 Joint Summit".