6th Congressional District Convention Registration Form

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Please fill out this form to register for the 6th Congressional District Convention. The Convention will be held on Saturday, January 14th, at 12 pm via zoom. A zoom link will be sent to the email supplied below ahead of the Convention.

Full Name *

Home address *

Email address *

Attending the Convention? *

Yes, I will be attending the 6th Congressional District Convention via zoom

No, I cannot attend the 6th Congressional District Convention via zoom

If you would like to express interest ahead of the District Convention, please indicate if you are interested in serving on any of the 3 State Convention Committees

Yes, I am interested in serving as a member or alternate on the Resolutions Committee

Yes, I am interested in serving as a member or alternate on the Credentials Committee

Yes, I am interested in serving as a member or alternate on the Rules Committee

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