Room Type		No. of		No. of	Cost		Total
		Rooms		Days
Standard			X		$124.95	=	$0.00
Exec. Suite			X		$145.95	=	$0.00
1 Bedroom			X		$166.95	=	$0.00
2 Bedroom			X		$261.45	=	$0.00
			Total Cost of Rooms					$0.00
Banquet		No. of			Cost		Total
		Tickets
Grandie Luncheon			X		$18.00	=	$0.00
Girls Social			X		$5.00	=	$0.00
Gen. Banquet			X		$35.00	=	$0.00
Gr. Deputy Brkfst			X		$16.00	=	$0.00
PGO/Alumni Brkfst			X		$16.00	=	$0.00
Grand Cross			X		$20.00	=	$0.00
MA/GD Lunch			X		$20.00	=	$0.00
			Total Cost of Banquets					$0.00
Registration		No. to			Cost		Total
		Register
Full Registration			X		$20.00	=	$0.00
Single Session			X		$5.00	=	$0.00
			Total Cost of Registration					$0.00
			Total GA Cost					$0.00
		1/2 Total GA Cost Due - April 15						$0.00
		Remainder of GA Cost Due - May 21						$0.00
Assembly Name  & Number -
Name of Contact Person -
Phone Number of Contact -
Email of Contact -