Registration Form

Registration deadline: Friday, April 18, 2008

Name:
Organization or business name:
Address:
City:
Zip Code:
Email:
Phone:
Fax:
Legislator(s) I want to meet with:
Fee:  Full registration  $50
Covers materials, refreshments and April 30 reception (meals and lodging not included)
  
   Full registration + Lunch on April 30  $70
with invited special guest Sen. Darrell Steinberg, incoming Senate President
  
  MasterCard   Visa
Credit Card Number:
Expiration Date (MM/YY):
   

Print form for Faxing Fax number: (916) 914-2494