Exssa USA Convention 2023
1
Basic Info
Name:
Address:
Email:
Phone:
Member Type:
Member
Non Member
Do You want to register ?
Yes
No ( I JUST NEED CRUISE AND/OR GALA TICKET)
2
Price Summary (USD):-
Summary
Quantity
Total
For Members
$230 to may 31,
$240 before June 30,
$250 before July 31st
For Non Members
$300 to may 31,
$319 before June 30,
$320 before July 31st
Optional
- Lunch Cruise $
100
- Royal Dinner/ Gala guest ticket $
125
Total
Paypal Fee (3.49% + $0.49)
Grand Total
3
Meal Preference:-
Chicken
Fish
Vegetarian
Review
Final Summary:-
Personal Information :-
NAME :-
EMAIL :-
PHONE :-
ADDRESS :-
MEAL PREFERENCE :-
Registration Information :-
Registration Fees
Quantity
Total
Registration Fee
Lunch Cruise ($100)
Royal Dinner/ Gala guest ticket ($125)
Paypal Fee (3.49% + $0.49)
Total
Submit