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Legislative Conference Registration Form

Registering for: 2013 Legislative Conference

2013 Legislative Conference

Fee $30 per person — covers conference tuition and materials, lunch, and refreshments.

Full Name:
Street Address:
City:
State:
Zip:
Union:
Industry or sector:
Position in Union:
Email address:
Daytime Phone:
Evening Phone:
Best time to call:

Billing Information

   We would appreciate prepayment if possible. Thank you!

 

 
Contact Person
Street
City State
Zip Phone Number

 

 
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