NC meeting registration March 29th 30th 2008

Registration for CPUSA National Committee Meeting
March 28th, 29th 2008

Deadline for registration is Friday, March 21st. Register early; the best housing locations are given on a first come first serve basis. Final Deadline by 5PM March 21st.

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 27th Friday March28th Saturday March 29th

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 29th Sunday March 30th Monday March 31st 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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