Registration - National Citizen Leadership Conference

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Name*

First Last

Email*

Mobile Phone

So we can text you during the conference.

Address*

Street Address City State ZIP Code

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Lobby Day

Are you interested in Citizen Lobby Day on September 29?

Yes

Program Interests*

What are you interested in participating in this year? Please select all that apply.

Attending the conference

Lobby Day

Dinners / Social Events

Send me information about special hotel rates and discounts

What are you hoping to get out of attending NCLC?

What issues do you care about that are affected by excessive money in politics?

Do you have any dietary restrictions?*

Kosher

Gluten free

Vegetarian

None

Other

Demographics

If you'd like, let us know your age range.

18-30

31-45

46-60

61+

Do you have any accessibility or special needs?

If yes, please provide any relevant details in the comments field below.

Yes

Would you like to volunteer for a shift at the conference?

If "yes," we will get in touch with you with some options to suit your interests and let you know the many, many rewards of volunteering.

Yes, please!

No, thank you.

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Ticket to Conference

Full registration including Conference and Dinner 9/28, and (optional) Lobby Day 9/29.

Registration - $129

Ticket to Conference - $129*

Full registration including Conference and Dinner 9/28, and (optional) Lobby Day 9/29.

Comments (optional)

Would you like to make a donation to the conference?

(optional) If you'd like to make a donation of any size to the conference, we thank you!

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Sponsor a Registration

Would you like to sponsor someone to attend NCLC this year?

Full sponsorship - $149

Partial sponsorship - $75

Not at this time

Promotional Code

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National Citizen Leadership Conference Registration

National Citizen Leadership Conference Registration

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