Web Site Registration Form
Great Smokies Assembly
of York Rite Masons
Maggie Valley, NC
July 8, 9, 10, 2012
Please complete this form and return with your
check no later than June 15, 2012.
Make checks payable to:
Summer Assembly
and mail to
Robert Schafer - Grand Sceretary
P.O.Box 17212 - Raleigh, NC 27619
Name_________________________________________
Address ______________________________________
City _______________________________
State ______________________________
Zip _______________________________
Title ________________________________________
_________________________________________
Wife's Name __________________________
Guests Name:_________________________________
Registration Fee (Men Only) $ 20.00______________
Banquet Tickets $ 30.00 per person ______Children: $15.00 __________
Total Amount of Check............$_________BACK TO - Great Smokies Program