“One of the Conservative Movement’s Marquee Annual Events” —­ CNN SEPTEMBER­ 26–28, 2014 Omni Shoreham Hotel, Washington, DC

TM EARLY BIRD SPECIAL BEFORE APRIL 30 STUDENTS $50 H SCHOLARSHIPS AVAILABLE REGISTER ON-LINE: valuesvotersummit.org or call 1-877-372-2808 INVITED SPEAKERS

Glenn Beck Gov. Sam Brownback Kirk Cameron Dr. Ben Carson Sen. Ted Cruz Roma Downey / Mark Burnett Gov. Nikki Haley Sean Hannity

Gov. Mike Huckabee Brit Hume Gov. Bobby Jindal Megyn Kelly Sen. Mike Lee Mark Levin Rush Limbaugh Star Parker

Sen. Rand Paul Gov. Mike Pence Gov. Rick Perry Sen. Marco Rubio Rep. Paul Ryan Sen. Rick Santorum Gov. Rick Scott Sen. Tim Scott Informative Breakout Sessions H Celebrity Book Signings H Student Mixer H Exhibits H Faith, Family & Freedom Gala H New Media Row Sponsored by

SPONSORS

American Values, Liberty Counsel, Liberty Institute, FRC and Media Research Center are sponsors only of the educational portions of Values Voter 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. September 26-28, 2014 H Omni Shoreham Hotel H Washington, DC

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 (black-tie optional) o FOUNDER’S PACKAGE ($575/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception, ___ @ $575 = ______Faith, Family and Freedom Gala Dinner (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 and ___ @ $145 = ______Freedom Gala Dinner (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 Counsel/Liberty Counsel Action (Speaker—to be determined) ...... ___ @ $25 = ______o Friday Luncheon Sponsored by AFA Action (Speaker—Don Wildmon, Founder, AFA; Buddy Smith, Executive VP, AFA Action) . . . ___ @ $40 = ______o Saturday Summit and Exhibits Pass ...... ___ @ $75 = ______o Saturday Breakfast Sponsored by Liberty Institute (Speaker—Kelly Shackelford, President and CEO) ...... ___ @ $25 = ______o Saturday Luncheon Sponsored by American Values (Speaker—Gary Bauer, President) ...... ___ @ $40 = ______o Saturday Evening VIP Reception ...... ___ @ $250 = ______o Saturday Evening Faith, Family and Freedom Gala Dinner (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 Package and/or individual tickets Sub Total ...... ______credited toward membership in FRC Action, which ______allows me the benefits listed at www.frcaction.org. (Deduct $15 per person before April 30) Early Bird Discount ...... Applies only to the Values Voter, Patriot, and Founder’s Packages

PAYMENT INFORMATION (payments are not tax deductible) TOTAL Enclosed is my check # ______made payable to FRC Action Please charge my Visa Mastercard Discover American Express credit card for $______Cardholder’s Name ______Credit Card Number______Exp. Date ______CID______Cardholder’s Signature ______

HOTEL INFORMATION – Rooms are available at the Omni Shoreham Hotel for a discounted group rate of $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 12400611900 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: SEPTEMBER 1.

PERSONAL INFORMATION (please print clearly): Name______Title ______Name of Spouse/Guest (if attending)______Organization Name ______Mailing Address ______City______State ______Zip______Daytime Phone ______Cell Phone ______

Email ______Church______ITEM CODE FL14B01 14B02I

No refunds after August 22 Register ON-LINE at valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254 FRC Action • PO Box 2279 • Holland, MI 49422-2279