LWV-VA 2019 Convention Registration
A registration form must be completed for each person attending.

Be sure to scroll to the end of this form and click the submit button to complete your registration and make your PayPal payment or to receive information for mailing your check. Please note that mailed checks must be postmarked 3 days prior to close of registration. (April 25th)

If you have any problems with this form or payment please call Linda Garvelink at 1-703-853-0766.

Final date for registration is April 25th.

Email address *
Your first name *
Your answer
Your last name *
Your answer
Will you be bringing a guest to banquet? Is so, please provide their first and last name here. Each guest must have a separate registration form completed.
Your answer
Your phone for contact information *
Your answer
Are you a delegate to convention (Delegates are required to be attendees of full convention.) *
The Name of Your League *
Your answer
What will you be attending? (please check all that apply) *
All fees for convention, banquet and special session are non-refundable.
Full convention $150; 1 day of convention (Saturday or Sunday) $75; Banquet $55, SHR special session $25
Who is paying ? *
If someone else is paying for you (i.e., your League) please give that person's name here.
Your answer
If you are paying for yourself and others, or know how another person will be paying, please tell us how. (Ignore this question if someone else is paying and you do not know how they will be paying.
Banquet Meal Options *
Saturday Breakout 1 *
Saturday Breakout 2 *
Sunday Breakout *
Sunday Post Convention: Southampton Roads League Special Session: Meet the Rising Tide
This is a special session being offered by LWV of Southampton Roads. Proceeds from this session go to LWVSHR.
Do you plan to attend this special session? (Be sure to include this $25.00 option when making your payment.) *
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