VFW of Illinois
Online Reporting - Convention Registration

To submit convention registration information online, please fill out this form and submit it.
PLEASE DO NOT MAIL any information if you submit online.
INSTEAD OF submitting online you MAY print this blank form, fill it in, and mail it.

Required information is shown in red.
When finished, please click on the Submit button at the bottom.

District	Post Number      Reporting Date (mm/dd/yy)
Prepared by	Title
Phone	Fax      Email Address*
*A copy of this submission will be emailed to this address, please be sure that it is entered correctly!

Please register the below listed Comrades for the Department Convention being held the week of June 14-17, 2012, in Springfield, Illinois. The Registration Fee of $15.00 per comrade will be paid online or mailed separately.

NOTE: Registration fee after June 10th, 2012 will be $17.00 per person, so register now!

Name	Post#	Street	City	ZIP