September 12-14, 2008 H Hilton Washington H

September 12-14, 2008 H Hilton Washington H Washington, DC
REGISTRATION INFORMATION FOR CHURCHES
I would like to register for the following package (please check):
o VALUES VOTER PACKAGE ($95/per person)—Includes Three-day Summit and Exhibits Pass. Meals not included
QTY TOTAL
___ @ $95= ______
___ @ $200 = ______
o PATRIOT PACKAGE ($200/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s
Faith, Family and Freedom Gala Dinner honoring Chuck Colson (black-tie optional)
o FOUNDER’S PACKAGE ($550/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception,
___ @ $550 = ______
Faith, Family and Freedom Gala Dinner honoring Chuck Colson (black-tie optional) and all Friday and Saturday sponsored meals
o STUDENT PACKAGE ($140/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Faith, Family and
___ @ $140 = ______
Freedom Gala Dinner honoring Chuck Colson (black-tie optional)
PLEASE CHECK YOUR ATTENDANCE AT THE SONICFLOOd CONCERT BELOW
Daily Summit passes, meal, concert, 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Friday Breakfast Sponsored by FRC Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o Pastor o Pastor’s spouse o Culture Impact Team member . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Friday Luncheon Sponsored by Focus on the Family Action (Grassroots Action Awards Luncheon) . . . . . . . . . . . . . . . . . . o Friday Evening SONICFLOOd Concert at 10 PM for Summit attendees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o I am a student and would like a ticket to the SONICFLOOd Concert . . . . . . . . . . . . . . . . . . . . . . . . . . . o Saturday Summit and Exhibits Pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Saturday Breakfast Sponsored by Alliance Defense Fund (Speaker—Benjamin Bull, Chief Counsel) . . . . . . . . . . . . . . . . . o Saturday Luncheon Sponsored by American Values (Speaker—Gary Bauer, President) . . . . . . . . . . . . . . . . . . . . . . . . . . o Saturday Evening VIP Reception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o Saturday Evening Faith, Family and Freedom Gala Dinner honoring Chuck Colson (black-tie optional) . . . . . . . . . . . . . . . . . . . o Student Summit and Exhibits Pass (must be 21 years of age or under and present a valid student ID upon check-in) . . . . . . . . ___ @ complimentary
___ @ $35= ______
___ @ $10= ______
___ @ complimentary
___ @ $75= ______
___ @ $20= ______
___ @ $35= ______
___ @$250= ______
___ @$125= ______
___ @ $50= ______
(Deduct $45 if you are a Pastor) Pastor Discount . . . . . . . . . . . . . . – ______
PAYMENT INFORMATION (payments are not tax deductible)
Enclosed is my check # _______ made payable to FRC Action
Please charge my
Mastercard
___ @ $20= ______
Package and/or individual tickets Sub Total . . . . . . . . . . . . . . . . ______
I agree that a portion of my registration fee may be
credited toward membership in FRC Action, which
allows me the benefits listed in www.frcaction.org.
Visa
___ @ $75= ______
Discover
TOTAL
credit card for $_________
Cardholder’s Name ____________________________________________________________________________
Credit Card Number______________________________________________________Exp. Date ____________
Cardholder’s Signature _________________________________________________________________________
HOTEL INFORMATION – Rooms are available at the Hilton Washington for a discounted group rate of $196. Please
call 1-888-DC Hilton to reserve your room or you may register on-line at www.valuesvotersummit.org. You must mention
FRC Action and/or Values Voter Summit to receive the discounted rate (rooms are limited and are available on a first-come,
first-served basis). Your credit card will be charged a first night’s deposit 72 hours before arrival. You must also cancel 72
hours prior to arrival to avoid room cancellation penalty. HOTEL RESERVATIONS DEADLINE: AUGUST 15
PERSONAL INFORMATION (please print clearly):
Name________________________________________________________ Title _______________________________
Name of Spouse/Guest (if attending)_______________________________________________________________
Organization/Church Name _______________________________________________________________________
Mailing Address _______________________________________________________________________________
City________________________________________________State ___________________Zip______________
Daytime Phone ________________________________E-Mail __________________________________________
Registration Deadline: September 1 H *No refunds after August 15
H To Register: CALL 1-877-372-2808 or return this form H FAX 616-394-5254
08BR2J
Sponsored By
The Legislative Action Arm of Family Research Council
H H H
Co-Sponsors
Family Research Council*
Focus on the Family Action
American Values*
Alliance Defense Fund*
This Fall’s “Fight for Marriage” will be
Framed & Focused at this Important Event
H H H
t
Concer
t Youth
h
ig
N
Friday NICFLOOd
with SO
September 12-14, 2008
Hilton Washington, H Washington, DC
H Confirmed * and Invited Speakers Include H
Newt Gingrich*
Dr. Bill Bennett*
Chuck Colson*
Sean Hannity
Oliver North
Rev. Jonathan Falwell*
Michael Steele*
Gov. Mitt Romney
Lou Dobbs
Choir
Heritage Kids
rmances by
House)
e
Special perfo
hit
W
e
Th
ed at
l choir which
(homeschoo
has appear
Laura Ingraham
H PLUS Republican and Democratic Presidential Nominees and More!
H Highlights H
H
Plenary and breakout sessions on life, marriage and the family, immigration, fundamentalist Islam, religious liberties, bioethics, judicial
activism, education and school choice, the new media, voter organization and turnout … and much more!
H
H
ala Dinner
Saturday G ring
Hono
LS O
CHUCK CO
H
N
Special reception and breakout sessions just for students
AV A L O N
SONICFLOOd concert
Meals hosted by Focus on the Family Action, American Values and Alliance Defense Fund
Book signings by celebrity authors
H
Radio row
H
Blogger’s row sponsored by Americans United for Life
H
With
Musical G
uests
H
Exhibitors H Sunday morning worship service
$95 REGISTRATION
$50 for Students
(Scholarships Available)
REGISTER: ON-LINE at www.valuesvotersummit.org
or CALL 1-877-372-2808 • FAX 616-394-5254
*FRC, American Values and ADF are sponsors of the 501(c)(3) segments only