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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)

Telephone (Secondary)

Local Party

Fees

Meeting Registration Fee (Required)

I will be at the Membership Meeting in Champaign-Urbana, July 17-19, 2009. Requested donation for Membership Meeting attendance is $25, and $10 for students and low-income members. You may request a registration waiver for the meeting if you are unable to pay.

Fundraising Dinner Fee (Required)

I will be at the fundraising dinner, July 18, 2009. Requested minimum donation for the Fundraising Dinner is $25, or $10 for students and low-income members.

Additional Donation

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

Total (Registration Fee + Fundraising Dinner Fee + Donation) (Required)

Additional Info

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