Campaign Management Training Seminar Registration Form

Candidate Name*

Last Name

Second Attendee Name (Ex. Campaign manager, spouse, treasurer, etc.)

First NameLast Name

What office or position are you seeking? *

Address*

Street Address

Street Address Line 2

CityCounty

Zip Code

Phone Number*

Please enter a valid phone number.

Email*

Please enter a valid email address.

Seminar

Candidate + One Additional Attendee(Ex. Campaign manager, spouse, treasurer, etc.)

$300 Quantity

Additional Campaign Members(Fee includes meals, breaks, and materials)

$50 Quantity

Total

$0.00

Payment Information

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country