Learn How You Can Fight, Win and Change Your ... - FRC Action

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Learn How You Can Fight, Win and Change Your ... - FRC Action

Learn How You Can Fight,

Win and Change Your

Campus Culture

$50

Student

Package

September 18-20, 2009

Omni Shoreham Hotel H Washington, DC

Scholarships

Available

Invited Speakers Include

Share a Room

for as little

as $65

per person,

per night!

HIGHLIGHTS

H Student Reception H

H Student Breakout Session H

H Book Signings H

Faith, Family,

Freedom Gala

Dinner

Sponsors:

Register On-Line: www.valuesvotersummit.org

or call 1-877-372-2808

See reverse side for package pricing and registration information

The Legislative Action Arm of Family Research Council

American Family Association* • American Values* • Focus on the Family Action • Family Research Council*

*AFA, American Values and FRC are sponsors of the 501(c)(3) segments only

BC09D02


A limited number of scholarships that will waive the $50 registration fee for qualified students is available.

Go to www.valuesvotersummit.org to apply.

REGISTRATION INFORMATION

I would like to register for the following package (please check):

o VALUES VOTER PACKAGE ($99/per person)—Includes Three-day Summit and Exhibits Pass. Meals not included

o PATRIOT PACKAGE ($200/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s

Faith, Family and Freedom Gala Dinner (black-tie optional)

o FOUNDER’S PACKAGE ($550/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception,

Faith, Family and Freedom Gala Dinner (black-tie optional) and all Friday and Saturday sponsored meals

o STUDENT PACKAGE ($145/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s Faith, Family and

Freedom Gala Dinner (black-tie optional)

QTY TOTAL

___ @ $99 = ______

___ @ $200 = ______

___ @ $550 = ______

___ @ $145 = ______

Daily Summit passes, meal, reception, and gala tickets are available. To purchase à la carte tickets for

the Summit events, please check your choice(s) below (You must purchase a Summit pass to be eligible for other individual tickets.):

o Friday Summit and Exhibits Pass .................................................................

o Friday Breakfast Sponsored by American Values (Speaker—Gary Bauer, President) ...........................

o Friday Luncheon Sponsored by Focus on the Family Action (Grassroots Action Awards Luncheon). ..................

o Saturday Summit and Exhibits Pass ...............................................................

o Saturday Breakfast Sponsored by FRC Action (Speaker—To be determined) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Saturday Luncheon Sponsored by American Family Association (Speaker—Don Wildmon, Chairman). ..............

o Saturday Evening VIP Reception .................................................................

o Saturday Evening Faith, Family and Freedom Gala Dinner (black-tie optional) .....................................

o Student Summit and Exhibits Pass (must be 21 years of age or under and present a valid student ID upon check-in) ...

___ @ $75 = ______

___ @ $20 = ______

___ @ $35 = ______

___ @ $75 = ______

___ @ $20 = ______

___ @ $35 = ______

___ @ $250 = ______

___ @ $125 = ______

___ @ $50 = ______

Package and/or individual tickets Sub Total

. . . . . . . . . . . . . . . . ______

I agree that a portion of my registration fee may be

credited toward membership in FRC Action, which

allows me the benefits listed at www.frcaction.org.

PAYMENT INFORMATION (payments are not tax deductible)

(Deduct $20 per person before May 15) Early Bird Discount

Applies only to the Values Voter, Patriot, and Founder’s Packages

TOTAL

. . . . . . . . . . . . . . – ______

Enclosed is my check # _______ made payable to FRC Action

Please charge my Visa Mastercard Discover credit card for $_______________________

Cardholder’s Name ____________________________________________________________________________

Credit Card Number______________________________________________________Exp. Date ____________

Cardholder’s Signature _________________________________________________________________________

HOTEL INFORMATION – Rooms are available at the Omni Shoreham Hotel for a discounted group rate of $199.

Rooms may be shared by up to 4 persons at just $65 per person per night (including tax).

To reserve your room please call 1-800-The Omni (800-843-6664) or you may register on-line at www.valuesvotersummit.org.

You must mention FRC Action Values Voter Summit to receive the discounted rate (rooms are limited and are available on a

first-come, first-served basis). Your credit card will be charged on the day of arrival. You must also cancel 48 hours prior to

arrival to avoid room cancellation penalty. HOTEL RESERVATIONS DEADLINE: AUGUST 14

PERSONAL INFORMATION (please print clearly):

Name_____________________________________________________Graduation Date_____________________

School Name _________________________________________________________________________________

Sharing a Room with____________________________________________________________________________

Mailing Address _________________________________________________________________________________

City________________________________________________State ___________________Zip_________________

Daytime Phone ______________________________________ Cell Phone _____________________________________

Email:_______________________________________________________________________________________

09BR71

Registration Deadline: September 1 H No refunds after August 14

Register ON-LINE at www.valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254

Student Coordinator: Aaron Chang H vvsinfo@frcaction.org H 202-637-4673

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