GOV. MIKE HUCKABEE Confirmed for Summit! Host of #1-Rated Weekend Hit, Huckabee October 11 –13 Omni Shoreham Hotel H Washington, DC $99 Registration $50 STUDENTS H Scholarships Available REGISTER ON-LINE: www.valuesvotersummit.org or call 1-877-372-2808 CONFIRMED* AND INVITED SPEAKERS Rep. Michele Bachmann Dr. Bill Bennett Ryan Bomberger* Gov. Jan Brewer Rep. Eric Cantor Dr. Ben Carson Sen. Ted Cruz Sean Hannity Gov. Bobby Jindal Rep. Steve King* Mark Levin Michelle Malkin Star Parker* Sen. Rand Paul* Gov. Mike Pence Lila Rose Joel Rosenberg Sen. Marco Rubio Rep. Paul Ryan Rick Santorum* Gov. Rick Scott Sen. Tim Scott Gov. Scott Walker Rep. Allen West Informative Breakout Sessions H Celebrity Book Signings H Student Mixer H Exhibits H H Faith, Family & Freedom Gala HonoringFounder, Dr. The Ed FeulnerHeritage Foundation New Media Row Sponsored by Job Fair hosted by SPONSORS FRCAction American Values, The Heritage Foundation, Liberty Counsel, FRC and Media Research Center and are sponsors only of the educational portion of the Values Voter Summit. These organizations are not sponsoring the appearance of any candidate for public office or political party, nor do they support, oppose or endorse any candidate for elective public office. October 11 - 13, 2013 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 Faith, Family and Freedom Gala Dinner Honoring Dr. Ed Feulner, Founder, The Heritage Foundation (black-tie optional) ___ @ $200 = ______ o FOUNDER’S PACKAGE ($575/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Private Reception, Faith, Family and Freedom Gala Dinner Honoring Dr. Ed Feulner, Founder, The Heritage Foundation (black-tie optional) and all Friday and Saturday Sponsor Meals ___ @ $575 = ______ o STUDENT PACKAGE ($145/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Faith, Family and Freedom Gala Dinner Honoring Dr. Ed Feulner, Founder, The Heritage Foundation (black-tie optional) ___ @ $145 = ______ 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 (Praise the Lord and Pass the Ammunition! The 2nd Amendment and the Right to Bear Arms—Speakers: J. Kenneth Blackwell, Senior Fellow for Family Empowerment, Family Research Council and Board Member, National Rifle Association; Jan Morgan, Associated Press Award-Winning Investigative Journalist ) . ___ @ $25 = ______ o Friday Luncheon Sponsored by AFA Action (Speakers: Congressman J. Randy Forbes (R-VA); Buddy Smith, Executive Vice President, American Family Association) . ___ @ $40 = ______ o Saturday Summit and Exhibits Pass . ___ @ $75 = ______ o Saturday Breakfast Sponsored by The Heritage Foundation (How America Can Still Provide Opportunity for All: Stories and Solutions—Speakers: Dr. Matthew Spalding, Vice President for American Studies and Director, B. Kenneth Simon Center for Principles and Politics, The Heritage Foundation; Jennifer Marshall, Director, Domestic Policy Studies, The Heritage Foundation; Bishop Shirley Holloway, Founder, House of Help, City of Hope) . ___ @ $25 = ______ o Saturday Luncheon Sponsored by American Values (Speaker—Gary Bauer, President) . ___ @ $40 = ______ o Saturday Evening Private Reception . ___ @ $250 = ______ o Saturday Evening Faith, Family and Freedom Gala Dinner Dinner Honoring Dr. Ed Feulner, Founder, The Heritage Foundation (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 credited toward membership TOTAL 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 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 $199. 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 12400611899 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 6. 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 FL13B01 13B02J No refunds after September 2 Register ON-LINE at www.valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254 FRC Action • PO Box 2279 • Holland, MI 49422-2279.