NCDP Congressional District 3   
2024 Convention Registration Form
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Email *
Convention Delegates and Attendees 
All Convention Delegates and Attendees must register to ensure appropriate accommodations. Individuals must respond to all questions in order to submit this form.
First, Middle, Last Name *
Residential Address, City/Town, State, Zip *
Preferred Phone Number *
Indicate the type of phone. *
Are you a County Delegate? *
Which County Party are you a member? *
Would you like to make a donation to District 3 to offset the cost of printing and refreshment and support of candidates?  *
Please contact Wesley L. Boykin, District 3 Chair, if you have questions at wesboy@att.net.
A copy of your responses will be emailed to the address you provided.
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