WLEEAA Registration and Payment

Post Registration and Online Payment
Explorer Post Name and Post #*
Post Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Attending Advisors Name*
Primary Attending Advisors E-mail*
Primary Attending Advisors Cell Phone*

Area CodePhone Number
Registration Fees (Please ensure the check box and the quantity are both selected for each registration item selected)*
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Explorer Registration (Select the number of Explorers Attending)$250.00

Quantity

Advisor Registration (Select the number of Advisors Attending)$250.00

Quantity

Advisors who wish to bring their families with 3 additional guests. Includes 3 nights lodging and 3 addtional water park passes.$175.00

Quantity

Family Meal Plans - $90.00 per family member (Advisor meals are included with their registration. We cannot adjust price based on age of family member)$90.00

Quantity

Total $0.00
Payment method*

I will mail my payment to WLEEAA before the due dateI request an invoice so I can pay by credit card via Paypal. A 3% convienience fee will be added to the total.Other
Checks Payable To: WLEEAA, Inc

Remit payment via US mail to: Eileen Donovan-Agnew

                                                 WLEEAA Secretary

                                                 5601 W Andover Rd

                                                Milwaukee, WI 53219
Terms of Service*
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Post Registration and Online Payment