House of Delegates RSVP 2019

Prefix

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email*

Phone*

Are you willing to attend the 2019 House of Delegates?*

Yes
No

Will your spouse be accompanying you?*

Yes
No

If yes, what is your spouse's name?

What is your district?*

Please indicate the capacity you will be serving in the 2019 House of Delegates.*

Please RSVP for the following events by checking the boxes next to the events you plan to attend. Delegates and Alternate Delegates are required to attend the open forums. All other events are optional.*

Reception on Thursday, September 12, from 7 p.m. to 9 p.m.
Breakfast on Friday, September 13
Lunch on Friday, September 13

If your spouse is attending, please check which events he/she will be attending.

Reception on Thursday, September 12, from 7 p.m. to 9 p.m.
Breakfast on Friday, September 13
Lunch on Friday, September 13

Do you have any dietary restrictions?*

Yes
No

If yes, please indicate dietary restrictions.

If you will need lodging, please click here for hotel information.

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