Register for the Santa Rosa General Assembly, Nov 16-17, 2013

Arlene Francis Center • 99 6th St, Santa Rosa, CA 95401 • Draft agenda

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 as provided for in this policy.

Registration is now open and will be $40 through November 13, and $45 thereafter. Single-day registration is $20 through November 13, and $25 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 November 13th. Otherwise bring your check to the General Assembly.

All registrations include lunch and a light breakfast each day and all meals are vegan. Please review the draft agenda here. There will also be a Saturday night program open to the public featuring candidates, food, refreshments and local music on November 16. See you in Santa Rosa!

Please register using the form below. Advance registration is $40 ($45 after November 13). Single day registration is $20 ($25 after November 13). 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

$20 $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.

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