Juneau Legislative Fly-In ~ Registration Form

Marketing Committee Meeting - Tuesday, March 25th AlaskaTIA Fly-In - Wednesday, March 26th Board of Directors Meeting - Thursday, March 27th
Registration: Please fill out form completely and submit once for EACH participant. Note: Tab or click through fields - do not hit enter (return) until you are finished. Registration Deadline: Wednesday, March 12, 2008

Participant Information:
Company Name:
Participant's Name:
Address:
City:		State:
Zip Code:
Phone:		Fax:
E-mail:

Legislative Information: To pre-arrange meetings, please provide the names of your legislators.
Your Representative:
2nd Representative: (if desired)
Senator:
Other Official: (Administration)
Not sure who your legislators are? Please provide your HOME address, so we can look them up for you:
Address:
City:		State:
Zip Code:		Phone:

Please check the event(s) you're planning to attend:
Marketing Committee Meeting - Tuesday, March 25th Legislative Meetings - Wednesday, March 26th Board of Directors Meeting - Thursday, March 27th



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This page was last modified 02/15/2008 :.