MADISON ACTION DAY REGISTRATION 2019
Tuesday, March 26. Madison Masonic Center. 8:00 Coffee and networking ~ 9:00 Opening ~ 4:00 Closing
Please fill in your information below, submitting one form for each registrant.
Street Address, City, ZIP
Emergency Contact Name, if riding the Bus
Emergency Contact Phone, if riding the Bus
Optional: I'll be riding the bus - an extra $10 - to and from:
7:00 am ~The Park and Ride on Highway 20, just 1/4-1/2 mile west of I 94, Kenosha / Racine
7:00 am ~ 2821 Vel Phillips Avenue (formerly 4th Street), Milwaukee
6:45 am ~ First Congregational UCC, 724 E South River St, Appleton
7:15 am ~ Oshkosh Park & Ride
6:00 am ~ West Side Moravian Church, 1707 S Oneida Street, Green Bay
5:45 am ~ Mt. Sinai, 910 W. Randolph St., Wausau
6:15 am ~` Burger King, Plover
5:45 am ~ Immanuel Lutheran Church, 3214 Golf Road, Eau Claire
7:00 am ~ Old Elder Beerman Store, Beloit
7:00 am ~ Goerkes Corners, Waukesha County
7:15 am ~ Nagawaukee Park and Ride on Hwy 83 and I-94
Thanks for signing up. Click submit, then complete your registration by following the link to pay via PayPal.
COST: $25 Registration (breakfast, lunch, materials) REQUIRED
$10 Bus (optional)
Send me a copy of my responses.
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