Register for the Napa General Assembly, June 22-23, 2013

Napa Women’s Club • 218 Franklin St., Napa, CA 94559

You are invited to the next General Assembly of the GPCA, the party's primary decision-making body. Delegates are chosen by counties. Please have your County Party send a list of all of your delegates here. Other Greens are welcome to attend.

Registration is now open and will be $40 through June 19, and $45 thereafter. We ask that you please register on-line via the form below if possible - it will save you and the party time, and makes our record-keeping much easier and more accurate.

The form below will take you to a PayPal link that would will follow to pay by credit card or PayPal. If you can only pay by check, make it out to "Green Party of California" and send to GPCA, PO Box 417332, Sacramento, CA 95841 so that it arrives by June 19th. Otherwise bring your check to the General Assembly.

All registrations include lunch and a light breakfast each day and all meals are vegetarian or vegan. Information about lodging and transportation is here and the draft agenda is here. There will also be a Greens in Government public forum on Saturday night, June 22. Hope to see you in Napa.

Please register using the form below. Advance registration is $40 ($45 after June 19). If you would like to help others attend the General Assembly, please donate to the Nancy Broyles Memorial Fund (used to subsidize low-income delegates) by selecting "Other" and entering an amount over $40.

First Name

Last Name

Country

Address

City

State

Postal code

Email	Phone
Send me email updates

Employer

Occupation

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contributions are not tax deductible.

Amount

$40 Other $

Contribution rules
I have read and understand the following contribution rules: (1) GPCA must use our best efforts to obtain and submit the name, address, occupation and employer of our contributors. (2) Contributions of $100 or more which do not contain this information must be returned. (3) Contributions are not tax deductible.

I confirm that the above statements are true and accurate.

donor registerGA