2017 Citizenship in Action Banquet Guests

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Please fill out the form below if your Extension Unit will be inviting a Legislator to the 2015 Citizenship in Action Banquet. The banquet will be held on Sunday, February 15 at the Capitol Plaza Hotel in the Sunflower Ballroom. The cost is $30/guest and your local Extension Office will be billed after the event.

Please register your guest(s) no later than Monday, February 10.

Your Name *

First and Last Name

County/District *

Email *

Phone Number *

Number of Guests *

Legislator's Name(s) *

Please type your guest's first and last name(s).

I understand that my local Extension Office will be billed $30/guest signed up to attend the Citizenship in Action Banquet.

Required

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