March 28-30, 2025
Sulphur, LA
Hosted by
Lake Charles Chapter Ninety-Nines
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* Fields marked by this asterisk are required.
Full Name *
Phone Number *
Email Address *
Street Address *
Address Line 2
City *
State *
Zip *

Current Chapter *
Current Office
Past Section and Int'l Office Held
Arrival Date & Time
How will you be arriving?
(Driving, Commercial Flight Num, Self-Flight Tail Num, etc)
Guest Name(s)
Dietary Restrictions

Tickets *
Late Registration (after February 27, 2025): $135
Registration closes midnight March 21, 2025
$125

$40

$35
Payment
Subtotal: $
Taxes & Fees: $
Make checks payable to:
Lake Charles 99s
Send to:
Anne Self
5960 Blue Sage Drive
Lake Charles, LA 70605
Please note your registration will not be finalized until payment has been received. If name on check is different than on the registration please put the name used on the registration in the note field. Thanks!