Michigan Mini Regional “Glam on the Grand”  2008
Convention Registration Form

We are sorry, but we must limit attendance to members of Official Red Hat Society Chapters only. If you would like to come but are not a member of an official chapter, please register your chapter on this web site or find a chapter to join before registering for the convention.



There are no multiple registrations available. Please complete this form in its entirety for each individual being registered.

Fields marked by an asterisk (*) are required.

Please enter your chapter information
*Name of the Official Red Hat Society Chapter with which you are affiliated:
*Chapter Number:
*City:
*State/Province:
*Country:
Personal Information
Purple Perks ID:  - 
*First Name:
*Last Name:
*Street Address:
Unit Number (if applicable):
*City:
*State/Province:
*ZIP or Postal Code:
*Country:
Please enter your Email Address
for speedier confirmation and event updates.
*Phone:
Convention Options
*Convention Package
Please select either the entire convention option or the single event option: 
1. Main Convention    $299.00
2. Single Event Glam on the Grand Banquet    $99.00
*Are you a Red Hatter or a Pink Hatter?
We want to know who you are! Please tell us if you are a pink hatter or a red hatter. 
I am a Pink Hatter.
I am a Red Hatter.
*Banquet Dinner Choices
The Final Banquet will be held on Saturday, September 27, 2008. What would you like for dinner? 
1. Chicken
2. Vegetarian
*ADA Accomodations
Do you have special ADA accommodations for the convention (i.e. wheelchair access, listening devices, etc.)? We will contact you for more details. 
1. No, I do not have special ADA needs.
2. Yes, please contact me for more information.
Event T-Shirt
Purple Perks members receive an additional 10% off the price shown. 
1. Small    $12.44
2. Medium    $12.44
3. Large    $12.44
4. X-Large    $12.44
5. XX-Large    $14.22
6. XXX-Large    $14.22
7. No, thanks
Collectible Lapel Pin
Purple Perks members receive an additional 10% off the price shown. 
1. Convention Pin    $7.11
2. No, thanks.