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2016 NCSSAFOL Council 220 Legislative Conference

Registration Form

Please sign each person that is attending the conference at the Phoenix Park Hotel and subsequent Legislative Conference July 9-15th, 2016. (IF THE PERSON IS NOT ON THIS LIST THEY WILL NOT BE APPROVED FOR OFFICIAL TIME) 


First Name: *
Last Name: *
Address:
City, State: ,
Postal Code: - *

Phone (the one you will have with you in DC):
E-Mail Address (Personal): *
Local  *
Componet: (Type Field, PC,ODAR,HQ,WBDOC,and OQP)


* Required Fields

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