Registration Form

Thank you for registering to attend the

2020 Midwest-Western Region Continental Societies, Inc

“Regional Meeting”

Embassy Suites – Houston Galleria

2911 Sage Road| Houston, TX 77056 

Phone:  713-626-5444

(See Map)

Registration Deadline: March 18, 2020 (Postmarked)

Complete online registration below or
download, print and mail-in registration form with your payment

Midwest-Western Regional Registration Fee: $100.00
Late Registration Fee: $125.00  Accepted Online Only Until March 25, 2020

First Name (required)

Last Name (required)

Your Email (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Phone Number (required)

Chapter and Officer Information

Chapter Name (required)

Local Office Held

Regional Office Held

National Office Held


Regional Meeting Registration fees include the following meals:

- All schedule meetings, activities and lunch (Saturday)

- Regional Registration Breakfast w/ Hotel Room Registration

Hotel registration must be made separately by each attendee.

Select Your Dietary Needs (required)

Transportation Information

Arrival Date (required)

Arrival Time

Departure Date

Payment Information

Select Payment Option (required)

Mail to:
Continental Anne C. Barnett
Financial Secretary-Midwest-Western Region
Continental Societies, Inc.
18550 S. Carpenter Street
Homewood, IL 60630

Payment button for PayPal will show after submitting your registration information