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REGISTER FOR THE HOW WOULD JESUS VOTE FORUM IN YOUR COMMUNITY!

*Required Information

Name:  *     Organization Name: * Title: *   Email:  *     Daytime Phone Number:      Evening Phone Number:     Address:       City:  *     State:  *     Zip Code:  *     Which HWJV event will you attend?:  *     Richmond, Virginia/June 14, 2008:     Atlanta, Georgia/July 26, 2008: Dallas, Texas/August 30, 2008: Los Angeles, California/September 27, 2008: Washington, DC/October 18, 2008: I am registering as an individual:   I am registering as an organization:    Number of attendees, including self   *