July 23-24, 2007 · · Renaissance Washington, DC Hotel · · Washington, DC

REGISTRATION: STEP ONE

Important Registration Details:

  • The $75 Summit registration fee does not include hotel or travel expenses. Hotel and travel arrangements and expenses are the responsibility of the attendee.

  • All participants will receive a confirmation via email, fax, or phone within 5 business days after registration payment has been received and registration is finalized.

  • Please do not make non-refundable travel arrangements until you receive your registration confirmation noting that you have a reservation at the Summit.

* denotes required field

*Prefix

*First Name (as it will appear on your name badge)
*Last Name
*Title/Position
*Company/Affiliation
*Address 1
Address 2
*City
*State
*Zip
*Phone
Fax
*Email
*Age
*Nominator Title

*Nominator
(name of elected official who nominated you to attend)

Please do not include my contact information on the Registration List to be distributed to Summit attendees.

Please rank these federal issues in order of importance (1 being most important):

 

*Education
 

*Healthcare
 

*Jobs/Economy

Optional Write-In: