27Th Annual Department of Georgia Convention Registration Form

27th Annual Department of Georgia Convention Registration Form

Warner Robins GA – April 27th thru 29th, 2018

NAME: ______

PREFERRED NAME (for Name Tag)______

MAILING ADDRESS: ______

CITY:______State: _____ ZIP: ______PHONE: (_____)_____-______

MCL Detachment Name and Number: ______

Current Office or Position Held: ______

MCL Member Registration Fee ($5.00 per person) ______X $5.00 = $______

(After April 1, 2018 registration fee is $6.00) ______X $6.00 = $ ______

MCLA Member Name and Unit: ______

MCLA Member Registration Fee: ($5.00 per person) ______X $5.00 = $ ______

(After April 1, 2018 registration fee is $6.00) ______X $6.00 = $ ______

Guest Name(s):______

Preferred Guest Name for Tags: ______

Guest (Non-Member) ($5.00 per person) ______X $5.00 = $ ______

(After April 1, 2018 registration fee is $6.00) ______X $6.00 = $ ______

BANQUET – Saturday April 28, 2018 ($50.00 per person) ______X $50.00 = $ ______

(Main Course Choices are Beef or Chicken) (Select how many of each) #Beef______#Chicken______

NOTE: Guests attending the Banquet must ALSO be registered for the Convention.

Persons without Registration Badges will not be permitted in the Hospitality Room,

Meetings or Banquet Hall

TOTAL AMMOUNT DUE = $ ______

(Make Checks payable to: Central Georgia Marine Corps League Det. 1373)

Banquet Menu: (choice of 8oz Filet Mignon, or Roasted Chicken), Herb Whipped Potatoes, Green Beans with garlic and white wine, Romaine Caesar Salad. Dessert choices are New York Style Cheese Cake or Raspberry Coffee Crème Brule.

Mail your registration and payment to:

Central Georgia Detachment 1373 CHECK # ______

P.O. Box 7815

Warner Robins, GA 31088 Date: ____/_____/______

Add your email address and we will confirm receipt of your registration:______

A block of 70 rooms will be held until all rooms are reserved or until April 13, 2018. A second hotel is available.

Room reservations can be made through the link provided on the Department Web site or call the hotel directly at

(478) 602-6200. Courtyard Marriott 589 Carl Vinson Pkwy. Warner Robins, GA 31088

Ask for 2018 Marine Corps League GA State Convention.

Convention Rate: Double or King @ $119 + Taxes and Fees.

Any questions please call Marty Habecker at (478) 542-4339 or email Marty at