March Storm 2011 Registration

1) Personal information:
Full name:
Mailing address:
City: State: Zip:
Home Phone: Work Phone:
Email Address:
Member of Congress:
(Not sure? Right-click and Open New Window on www.vote-smart.org)

2) Have you participated in a March Storm before?
Yes If so, which years did you attend?
No

3) I am a U.S. Citizen:
Yes
No

4) As of March 14th, 2011, I will be 18 years old, or older:
Yes
No

5) Registration category:
Regular $100.00
Student $25.00

REGISTRATION FEE MAY BE PAID IN ADVANCE OR WHEN YOU ARRIVE IN WASHINGTON
BY CASH, CHECK, OR CREDIT CARD (VIA GOOGLE CHECKOUT)

6) I will participate in:
Sunday (Mar. 13th Training & Orientation (REQUIRED):
1:00 p.m. - 4 p.m.
Required for all participants.
Yes
No

Congressional briefings on...
Mon (3/14)
Tue (3/15)
At least one full day is Required.

7) Recruited by: (optional)

After you have completed all the required elements, please click the submit button below: