WELCOME to the 68th Western Area Organized Unit Meet Hosted by Sphinx Court No. 65 WAOUM Home Ladies’ Registration Mens’ Registration Program Book Exhibition Drills Cactus Pokes Registration Packet Cactus Poke Order Form INSTRUCTIONS FOR POKES:Send a message to a friend, your High Priestess or someone who needs a Poke Me Up. For $5.00, you get a Sheriff’s badge and your message written on a ribbon.Name(Required) First Last Email(Required) Your Court Name and Number(Required)Phone(Required)Billing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Pokes Information:Number of Pokes Quantity(Required)Maximum of 5 Pokes per order form. Price: $5.00 Quantity Poke #1: Person I would like to Poke(Required)Court Name and Number(Required)Message(Required)Poke #2: Person I would like to PokeCourt Name and NumberMessagePoke #3: Person I would like to PokeCourt Name and NumberMessagePoke #4: Person I would like to PokeCourt Name and NumberMessagePoke #5: Person I would like to PokeCourt Name and NumberMessageTotal This field is hidden when viewing the formCredit CardReplace this field with a field specific to your payment gateway whenever possible.Payment Method(Required)
