Registration Form. CP-NC March 24-25, 2007

Registration for CPUSA National Council Meeting
March 24 - 25, 2007

Tamiment Library will have a Party Archive opening event on the 23rd. You are strongly encouraged to attend.

Deadline for registration is March 2nd. If you do not register by March 2nd, you will be on your own for housing. No ifs, ands, or buts about it.

Full name*:
Address*:
City*:		State:	ZIP*:

District: Choose AK AL AR AZ CA-Northern CA-Southern CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN-Northern MN-Southern MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA-Eastern PA-Western RI SC SD TN TX UT VA VT WA WI WV WY	Best to reach me by: Choose Phone Email
Primary Phone*:
Secondary Phone:
E-mail*:

Arrival Date* Choose Thursday March 22nd Friday March 23rd Saturday March 24th

Arrival Time Choose 7 AM 8 AM 9 AM 10 AM 11 AM Noon 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM Midnight 1 AM

Arrival Place Choose Driving JFK Airport LGA Airport Newark Airport Grand Central Station Penn Station Port Authority

Depart Date* Choose Saturday March 24 Sunday March 25 Monday March 26 Tuesday March 27

Depart Time Choose 7 AM 8 AM 9 AM 10 AM 11 AM Noon 1 PM 2 PM 3 PM 4 PM 5 PM 6 PM 7 PM 8 PM 9 PM 10 PM 11 PM Midnight 1 AM

Depart Place Choose Driving JFK Airport LGA Airport Newark Airport Grand Central Station Penn Station Port Authority

* Yes, I need housing, please make arrangements for me.
* No thanks, I already have housing arrangements (see below).

Housing arrangements already made? If so, where?

Special needs: (like dietary, health, housing preferences)

to send to the CP Org Dept

*required fields

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