2018 DPH State Convention Registration
This form is to register for the 2018 DPH State Convention at the Hilton Waikoloa on the Big Island on May 26th and 27th.
Once you have completed this form, please proceed here: https://secure.actblue.com/donate/statecon2018 to make your payment.
Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
District House *
Your answer
Precinct *
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Status *
To pay your registration fee
At this late date, you will need to make payment once you arrive at Convention. In order to avoid the same-day registration fee, send your registration form (http://bit.ly/SCRegForm) to Tambry Young at tambry@hawaiidemocrats.org by midnight 5/26 with Registration in the Subject line in order to get the regular fee, otherwise you will be charged an extra $25 once you arrive
A copy of your responses will be emailed to the address you provided.
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