GET ACTIVE

2007 Training and Lobby Days Registration Form

We're excited that you plan to join us in Washington, D.C. on October

16 and 17 for the Training and Lobby Days.

The cost of registration for the Training & Lobby Days is $25, which includes

the Prayer Breakfast on Tuesday, lunch on Tuesday and breakfast on

Wednesday. When you complete this form, you'll be able to pay online

or via mail.

First Name

Last Name

Home Phone Number

Secondary Number

Address

City

State

Postal Code

Email

1. How familiar are you with Jubilee USA and/or the debt issue?

Very Familiar

Somewhat Familiar

Not Familiar At All

2. If you have already scheduled meetings with your Members of Congress, please note names and times here:

3. If you have not yet scheduled meetings, would you like Jubilee to schedule your meetings for you?

4. I will attend:

October 16

Prayer Breakfast

Lobby Training & Education Sessions

October 17

Lobby Day with Members of Congress

October 18

Jubilee Annual Network Council Meeting

Jubilee 10th Anniversary Celebration

5. If you have special dietary needs:

What are your dietary needs?

If you have food allergies, please list them:

6. Please list any special needs that need to be tended to at the Lobby Day: