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44th KJT Convention - Registration

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REGISTRATION FORM
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- KJT Society No. & City REQUIRED Please fill out this field. Please enter valid data.
- 1. Each person attending the convention must complete this form and submit it before JUNE 23, 2026.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Name for name tag (i.e. Robert or Bob, John Paul or J.P., etc.) Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Mailing Address Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Check all that apply DELEGATE ALTERNATE STATE OFFICER/DIRECTOR STATE HONORARY OFFICER/DIRECTOR CLERGY FIRST TIMER MARSHALL GUEST OR SPOUSE KJT SALES REP
- DELEGATES MUST ATTEND ALL DAILY BUSINESS SESSIONS TO RECEIVE A PER DIEM FOR THE DAY
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