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Annual Meeting and Quaker Public Policy Institute 2018
Please enter the details of the person attending the event on this page.
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First name
Last name
Meeting or Church
Group Name
Email address
*
Street address
Address line 2
City
ZIP Code
Postal code
State
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
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Washington
Washington, D.C.
West Virginia
Wisconsin
Wyoming
Region
Phone
FCNL will send you periodic action alerts and updates. You can opt out at any time.
Registrant first name
Registrant last name
Registrant's email address
Which event are you registering for?
Full event: Quaker Public Policy Institute AND Annual Meeting (Thursday Nov. 28-Sunday Dec. 2)
Quaker Public Policy Institute ONLY (Thursday-Friday)
Is this your first time coming to the event?
Yes
No
Do you want to participate in our "buddy" system?
Yes, I've attended Annual Meeting before and want to be a "buddy" for a new attender.
Yes, this is my first time coming to Annual Meeting -- please pair me with a "buddy" who has attended before.
No, I don't want to participate in the "buddy" system.
How many times have you participated in a lobby training? Please write 0 if you've never been lobby trained before.
I am willing to be the scheduler and contact person for my state's lobbying delegation.
Yes
No
Maybe, send me more information
Date of birth
We may use text messages to communicate urgent updates around the event and for FCNL. Can we text the number you provided?
Yes, please text me at the number I provided above
Yes, please text me at this phone number:
No, do not text me urgent updates.
Dietary Restrictions (please check as many as apply)
Vegetarian
Vegan
Gluten-free
Other
How did you hear about Annual Meeting and the Quaker Public Policy Institutute?
College or university
Deborah Alexander (Shared Hope)
Email
Event or FCNL staff
Facebook
Friend or family
Poster or flyer
Quaker Church or meeting
Twitter
Other
Lobbying and worship sharing are important parts of Annual Meeting. We strongly encourage everyone to participate. However, it's helpful for us to have an accurate headcount to plan these sessions.
No, I don't plan on lobbying
No, I don't plan to join the worship sharing group.
Is someone else paying for your registration? (Friend or parent, meeting, church, civic organization, college, etc.)?
No, I am paying for my own registration.
Yes, someone else is paying for my registration.
Yes, I am a member of the Advocacy Corps.
When do you plan to arrive?
Wed AM
Wed PM
Thurs AM
Thurs PM
Other (earlier)
Other (later)
When do you plan to leave?
Friday PM (QPPI Only)
Saturday AM (QPPI Only)
Saturday PM
Sunday AM
Other (later)
Other (earlier)
Do you have special interest in any of the following areas? Please select all that apply.
Events
Lobbying
Quakerism
Supporting FCNL financially
Young Adults
Optional: Please share your interests with us. Select all those that apply.
Criminal Justice
Economic Justice
Environment
Immigration and Refugees
Middle East
Native Americans
Nuclear Weapons
Peacebuilding
Voting and Elections
US Wars & Militarism
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