Capitol Day Registration

Capitol Day Registration Form
Tuesday, June 15, 2010 - Lansing

First Name *

Last Name *

Email *
Company *
Company Address *
City *
State *
Zip Code *
Phone *

Number of Attendees ($15/ attendee)
You will receive a bill for your total number of attendees. *

The following individuals will attend:
Attendee 1 name *
Attendee 1 email
Attendee 2 name
Attendee 2 email
Attendee 3 name
Attendee 3 email
Attendee 4 name
Attendee 4 email
Do you personally know state legislators?
If YES, then what legislators(s) do you know?
Are there any specific legislators you would prefer to meet with?
If YES, then who would you like to meet?





Copyright 2010 by Michigan Restaurant Association 800-968-9668

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