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ILGP Meeting Registration

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Fill out this form to register for the next ILGP meeting.

Please fill out this form to register for the next Illinois Green Party Meeting. For more information, go to the meeting page.

Personal Info

First Name (Required)

Last Name (Required)

Address (Required)

City (Required)

State (Required)

County

Zip Code (Required)

e-mail (Required)

Telephone (Main)

Local Party

Fees

Meeting Registration Fee (Required)

I will be at the Membership Meeting at Chicago State, April 17, 2010. Requested donation for Membership Meeting attendance is $20, and $10 for students and low-income members. You may request a registration waiver for the meeting if you are unable to pay.

Additional Donation

In addition to the meeting fee, I am adding a donation.

Total (Registration Fee + Donation) (Required)

Additional Info

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mail:Illinois Green Party P.O. Box 471278, Chicago, IL 60647 phone:312-252-3066 fax:866-666-9540 email:info@ilgp.org

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