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Voting Rights Revival Conference, Columbus State Community College, Columbus, Ohio
October 13, 14 and 15, 2006

Registration: (Page One of Two)

Registration Form
Admission to the Voting Rights Revival conference is free.
Lunch will be provided Saturday and Sunday on site for a fee.

Your name:
Your email address:
Your street address 1:
Your street address 2:
Your city:
Your state:
Your zip:
Your home phone number:
Your work phone number:
Election issues group affiliation:

HOUSING
We are attempting to arrange housing with some of our Columbus members to assist conference attendees. Would you like to stay in someone's house if we could arrange that?
If so, how many in your party?
PARTICIPATION
Please help by indicating which types of activities workshops you plan to attend. Please mark all that apply with an "X".

1. Voting 101 (guaranteeing your voter registration, new ID rules, how to use voting machines)
2. Disabilities and voting
3. Adopt-a-Board of Elections
4. Election Day "Election Protection" activities
    4a. Legal
    4b. Parallel elections
    4c. Video the vote
    4d. Election Protection Observer
    4e. Post-election audit


Click SUBMIT FORM to send your info and proceed to the last step, payment:

If you have any questions, please email Pete Johnson.




Copyright 2006 Columbus Institute for Contemporary Journalism