FOCO 2013 Lobby Day

Freedom of Choice Ohio presents

Wednesday April 17, 2013
9am-4pm

YWCA Downtown
65 S 4th Street
Columbus, OH 43215

Scholarships are available.
Please contact Jaime Miracle to apply.

Full Name

First NameLast Name

Your Registered Voting Address (Necessary to match with your legislator)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

E-mail

Check which organizations you are a member of:

Other:

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Registration$20.00

Quantity

Student Registration$10.00

Quantity

If you are registering for multiple attendees, please list their names and addresses here:

Clicking "Submit Form" will take you to a secure PayPal account where you may make payment by credit card. This PayPal account is operated by FOCO coalition partner NARAL Pro-Choice Ohio. Registration fees are necessary to cover costs of printed materials, room rentals, and additional expenses. Scholarships are available. To apply or ask questions, email FOCOhio@gmail.com or call Jaime at 614-221-2594.

My Products*

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