Values Voter Summit
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VALUES VOTER SUMMIT FIGHT, WIN SEPTEMBER 17-19, 2010 & RECLAIM Omni Shoreham Hotel, Washington, DC Your $50 Student Package Culture Scholarships Available Share a room for as little as $59 per person, per night! H H H H H H H H H H H H H H H H New Media Row HOSTED BY H sponsored by Breakout Session: The Voice of Young America Town Hall Meeting “Against the Odds: Friday, 9:30 p.m. We’llH provide the mircrophone. Real Students ™ You provide the voice of young America. Making The Voice of Young America Town Hall Meeting Real Change” Lila Rose, Friday, 9:30 p.m. Joel Grewe, Live Action We’ll provide the mircrophone. Karin Agness, Generation Joshua ™ Network of Enlightened Women You provide the voice of young America. Jonathan Krohn, Author– The Principles that WillDefining Bring America Conservatism; Back INVITED AND CONFIRMED* SPEAKERS INCLUDE: Rep. Michele Bachmann* Dr. Bill Bennett* Gov. Jan Brewer Rep. Eric Cantor Gov. Chris Christie Sen. Jim DeMint* Duggar Family* Newt Gingrich Sean Hannity Gov. Mike Huckabee* Laura Ingraham Gov. Bobby Jindal Michelle Malkin Gov. Bob McDonnell Gov. Sarah Palin Star Parker* Rep. Mike Pence* John Ratzenberger Gov. Mitt Romney* Lila Rose* Marco Rubio Sen. Rick Santorum* Tim Scott Ben Stein TO REGISTER & APPLY FOR A SCHOLARSHIP: www.valuesvotersummit.org or call 1-877-372-2808 SPONSORS FRCAction American Values, The Heritage Foundation, Liberty University/Liberty Counsel, and FRC are sponsors only of the educational portions of the Values Voters Summit. These organizations are not sponsoring the appearance of any candidate for public office, nor do they support or oppose any candidate for elective public office. $50 Scholarships are first-come, first-served for qualified students. Visit www.valuesvotersummit.org to apply. REGISTRATION INFORMATION QTY TOTAL I would like to register for the following package (please check): o VALUES VOTER PACKAGE ($99/per person)—Includes Three-day Summit and Exhibits Pass. Meals not included ___ @ $99 = ______ o PATRIOT PACKAGE ($200/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s ___ @ $200 = ______ Faith, Family and Freedom Gala Dinner Honoring Don Wildmon (black-tie optional) o FOUNDER’S PACKAGE ($550/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception, ___ @ $550 = ______ Faith, Family and Freedom Gala Dinner Honoring Don Wildmon (black-tie optional) and all Friday and Saturday Sponsor Meals o STUDENT PACKAGE ($145/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Faith, Family ___ @ $145 = ______ and Freedom Gala Dinner Honoring Don Wildmon (black-tie optional) Daily Summit passes, meal, reception, and gala tickets are available. To purchase à la carte tickets for the Summit events, please check your choice(s) below (You must purchase a Summit pass to be eligible for other individual tickets.): o Friday Summit and Exhibits Pass . ___ @ $75 = ______ o Friday Breakfast Sponsored by Liberty University/Liberty Counsel (Topic: Understanding & Messaging the Millennial Generation) ___ @ $20 = ______ o Friday Luncheon Sponsored by American Family Association Action (Speaker—Don Wildmon, Founder & Chairman Emeritus) ___ @ $35 = ______ o Saturday Summit and Exhibits Pass . ___ @ $75 = ______ o Saturday Breakfast Sponsored by The Heritage Foundation (Topic: Voices for School Choice) . ___ @ $20 = ______ o Saturday Luncheon Sponsored by American Values (Speaker—Gary Bauer, President) . ___ @ $35 = ______ o Saturday Evening VIP Reception . ___ @ $250 = ______ o Saturday Evening Faith, Family and Freedom Gala Dinner Honoring Don Wildmon (black-tie optional) . ___ @ $125 = ______ o Student Summit and Exhibits Pass (must be 21 years of age or under and present a valid student ID upon check-in) . ___ @ $50 = ______ I agree that a portion of my registration fee may be TOTAL credited toward membership in FRC Action, which allows me the benefits listed at www.frcaction.org. PAYMENT INFORMATION (payments are not tax deductible) Enclosed is my check # _______ made payable to FRC Action Please charge my Visa Mastercard Discover credit card for $_______________________ Cardholder’s Name ____________________________________________________________________________ Credit Card Number______________________________________________________Exp. Date ____________ Cardholder’s Signature _________________________________________________________________________ HOTEL INFORMATION Rooms are available at the Omni Shoreham Hotel for a discounted group rate of $189 (triple/quad $209). Please call 1-800-The Omni (800-843-6664) to reserve your room or you may register on-line at www.valuesvotersummit.org. You must mention FRC Action Values Voter Summit or promo code 12400609746 to receive the discounted rate (rooms are limited and are available on a first-come, first-served basis). Your credit card will be charged on the day of arrival.You must also cancel 48 hours prior to arrival to avoid room cancellation penalty. HOTEL RESERVATIONS DEADLINE: AUGUST 20 PERSONAL INFORMATION (please print clearly): Name________________________________________________________ Graduation Date _________________ School Name_________________________________________________________________________________ Sharing a Room With ___________________________________________________________________________ Mailing Address _______________________________________________________________________________ City________________________________________________State ___________________Zip______________ Daytime Phone ______________________________________ Cell Phone _____________________________________ Email:______________________________________________ Church_________________________________________ ITEM CODE FL10C01 Registration Deadline: September 1 H *No refunds after August 13 H Register ON-LINE at www.valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254 Student Contact: Elizabeth McCullough H [email protected] H 202-262-5090.