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2024 State Convention Financial Assistance Form
Please fill out this form to request financial assistance with costs related to attending 2024 State Convention.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
City
*
Your answer
ZIP Code
*
Your answer
Will you be attending convention this year as a delegate or a guest?
*
Delegate
Guest
Not sure
Please select what costs you require assistance with
*
Hotel accomodations
Convention registration fee
I need help with both of these
Have you already made a hotel reservation for Convention?
Yes
No
Clear selection
If you already made a hotel reservation, please specify which hotel
Your answer
Are there any other costs you need help with or anything else you would like to share?
Your answer
A copy of your responses will be emailed to the address you provided.
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