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Registration Form
1. Fill Out Participant Information
*First Name
MI
*Last Name
Title
*Organization
*Work Telephone
*Address
Please mail all correspondence to this address.
*City
*State
*Zip
Fax
Home Telephone
Email
2. Fill Out Elected/Appointed Official Information
(If Applicable)
This person is:
Elected
Appointed
Staff
Title, Position
Jurisdiction/District Name
Jurisdiction/District Address
Please mail all correspondence to this address.
City
State
Zip
Jurisdiction/District
Telephone
Jurisdiction/District
Fax
Staff Contact
Gender:
Male
Female
Ethnicity:
Party affiliation:
Democrat
Republican
Other:
3. Select Your Pass
"All Events" Access
Registration/Non-Member
$600.00
Joining/Renewing Member
$500.00
Office Staff of Elected/Appointed Officials
$400.00
College Student
Must submit a copy of student ID
$300.00
Single Day Pass
Thursday
Minor Child or Spouse of Registered Participant
$75.00
All Others
$175.00
Friday
Minor Child or Spouse of Registered Participant
$75.00
All Others
$175.00
Saturday
Minor Child or Spouse of Registered Participant
$75.00
All Others
$175.00
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