FOUR CORNERS DESERT CONFERENCE

							                     Most Worshipful Prince Hall Grand Lodge, F. & A.M.
                            Jurisdiction of Arizona, Incorporated
                                       P. O. Box 57750 Tucson, AZ 85732-7750

                                             http://www.azmwphgl.com/


                         92nd Annual Session Registration Form

                               Sheraton Tucson Hotel & Suites
                                     5151 E. Grant Road
                                   Tucson, Arizona 85712

                                              May 5-6, 2012
Name:                                                    Email Address: _________________________

Phone No: (     )

Lodge:                                              Office: WM / SW / JW / PM / Other ___

Home Address:

City: _______________________ State:_________ Zip:


Advance Registration (Postmarked on or before April 15, 2012)                                     $65.00

On-Site Registration (Postmarked after April 15, 2012)                                                     $75.00

Visitor Advance Registration (Postmarked on or before April 15, 2012)                             $40.00

Visitor On-Site Registration (Postmarked after April 15, 2012)                                             $50.00

Extra Banquet Tickets – Number                        X $35.00 per meal                 =         $

                                                                      Total Enclosed $

                       Please return this form and your check/money order by APRIL 15, 2012 to:
                                                MWPHGL of Arizona
                                  P.O. Box 57750, Tucson, Arizona 85732-7750


    Room Reservations should be made with the Sheraton Tucson Hotel & Suites
            (520) 325-3535 under the Group Name: MWPHGL Masons

                    Room Rates: Deluxe Rooms - $94.00 (not including State and City tax)
                                2 Room Suites - $104.00 (not including State and City tax)

              ***CUTOFF DATE FOR ROOM RESERVATIONS: APRIL 3, 2012***