Democratic Leadership Asian American and Pacific Islander Town Hall

Registration Form

Democratic Leadership's Asian American and Pacific Islander Town Hall:
Working Together to Strengthen Our Economy

Wednesday, May 21, 2008
8:30 AM - 12:30 PM
Senate Dirksen Building-G50

Please fill out this form completely and click the register button.

Personal Information
Salutation:
Name:
Title:
Organization:
Mailing Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail:

Roundtable Policy Discussions

Below is a list of roundtable topics that will be discussed during the town hall. Please indicate your first, second and third choices by placing the numbers 1, 2, and 3 on the appropriate lines. We cannot guarantee that you will be assigned your preferred session; however every effort will be made to accommodate you.
First Choice:
Second Choice:
Third Choice:
 
 

Questions?
Please contact Kory Vargas Caro at (202) 224-7864 or Victoria Tung at (202) 225-2631.

*Limited Space Available. Registration May Close Early.*