Supreme Bethel Registration

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Note: This Pre-Registration does not replace in person Supreme Bethel Registration, it is designed to speed up the process. This registration is for daughters only wishing to register for the Supreme Bethel draw. The Daughter and a responsible adult will still need to visit our registration table to verify the information, decide what office(s) she wants to be considered for and sign the official registration card. You may not register for anyone else because they are on a tour or have not arrived prior to our registration table closing. PLEASE REMEMBER YOU MUST HAVE YOUR CURRENT SIGNED DUES CARD WITH YOU AT THE TIME OF REGISTRATION.

Jurisdiction

What State or Province your Bethel is in.

Name

First and Last Name

Birthday

MM/DD/YYYY

Age:

Honored Queen

Mark "Yes" if you are an Honored Queen

Yes

Clear selection

Past Honored Queen

Mark "Yes" if you are a Past Honored Queen

Yes

Clear selection

Address:

Mailing Address

City/Town:

State/Providence:

Zip/Postal Code:

Phone:

(area code) phone number

Email Address:

Please enter an email that you check frequently

Bethel #:

Location:

Are you currently a Supreme Bethel Officer or Representative?

Yes

If YES, what is your Office?

Submit

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