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DC FLI Registration
2010 State Training/DC Federal Legislative Initiative Registration Form - please complete the form below with the address(es) you wish for us to use to make your legislative appointments.  Many legislators will only meet with their constituents.  And don't forget that Monday is Lobby Day and our annual reception on the hill, so be sure to plan to stay late and interface with legislators and their staff.  The deadline for registration is April 18, 2010.
Please enter your information:
First Name*
Last Name*
Primary Address:
Address*
 
City*
State*
OR Other
Zip/Postal Code*
Country*
Email Address*
Cell Phone Number*
Secondary Address:
Address
 
City
State
OR Other
Zip/Postal Code
Country
Tertiary Address:
Address
 
City
State
OR Other
Zip/Postal Code
Country
 
Naturopathic College Dropdown Menu (Student Only)
How many years have you attended the DC FLI?
Legislative Knowledge: *
Beginner Intermediate Advanced
Attendance
What days do you plan to attend?*
  Friday, April 30, 2010
  Saturday, May 1, 2010
  Sunday, May 2, 2010
  Monday, May 3, 2010
Departure Date and Time:*
 
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