Confirmed* and Invited Speakers Include:
Lou DobbsRep. Michele Bachmann
$99 RegistrationStudents $50 Scholarships Available
Register On-Line: www.valuesvotersummit.org or call 1-877-372-2808
FL09C01
Glenn Beck Rep. Roy Blunt*Stephen Baldwin* Rep. Eric Cantor* Sen. Jim DeMint
Gov. Tim Pawlenty*
Rush LimbaughGov. Bobby JindalGov. Mike Huckabee*Sean Hannity Bill O’Reilly
Ben SteinGov. Mitt Romney Joel Rosenberg*
Gov. Sarah Palin Star Parker*
Rep. Mike Pence*
The Legislative Action Arm of Family Research Council Sponsors:American Family Association* • American Values* • Focus on the Family Action
Family Research Council* • The Heritage Foundation* *AFA, American Values, FRC and Heritage are sponsors of the 501(c)(3) segments only
September 18-20, 2009 Omni Shoreham Hotel H Washington, DC
Ed Meese*
Gov. Rick Perry* Phyllis Schlafly*
Rep. John Boehner*
Carrie Prejean
PLUS Book Signings H Exhibits H New Media Row Sponsored by
H Sessions: Obamacare: Rationing Your Life Away • Defunding Planned Parenthood • Thugocracy—Fighting the Vast Left Wing Conspiracy • Speechless—Silencing the Christians • The Threat of Illegal Immigration • Activism and Conservatism: Fit to a Tea (Party) and more!
S a t u r d a y G a l a
D i n n e r H o n o r i n g
P h y l l i s S c h l a f l yw i t h t h e
J a m e s C . D o b s o n
V i s i o n & L e a d e r s h i pA w a r d
Friday Evening Missile Defense Documentary and Discussion
Rise to the Challenge, Rally to the Cause!
Champion Life • Protect Marriage • Guard Religious Freedom Limit Government • Secure Our Homeland • Answer the Left
2012 Presidential Straw Poll
Registration Deadline: September 1 H *No refunds after August 14H Register ON-LINE at www.valuesvotersummit.org H CALL 1-877-372-2808 H FAX 616-394-5254
September 18-20, 2009 H Omni Shoreham Hotel H Washington, DC
I would like to register for the following package (please check): o VALUES VOTER PACKAGE ($99/per person)—Includes Three-day Summit and Exhibits Pass. Meals not included
o PATRIOT PACKAGE ($200/per person)—Includes Three-day Summit and Exhibits Pass and Saturday’s Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (black-tie optional)
o FOUNDER’S PACKAGE ($550/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s VIP Reception, Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (black-tie optional) and all Friday and Saturday sponsored meals
o STUDENT PACKAGE ($145/per person)—Includes Three-day Summit and Exhibits Pass, Saturday’s Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (black-tie optional)
Daily Summit passes, meal, 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 American Values (Speaker—Gary Bauer, President) . . . . . . . . . . . . . . . . . . . . . . . . . . .
o Friday Luncheon Sponsored by Focus on the Family Action (Grassroots Action Awards Luncheon). . . . . . . . . . . . . . . . . . .
o Saturday Summit and Exhibits Pass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o Saturday Breakfast Sponsored by The Heritage Foundation (Topic: A Conservative Vision of Social Justice) . . . . . . . . .
o Saturday Luncheon Sponsored by American Family Association (Speaker—Don Wildmon, Chairman). . . . . . . . . . . . . . .
o Saturday Evening VIP Reception . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o Saturday Evening Faith, Family and Freedom Gala Dinner Honoring Phyllis Schlafly (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) . . . . . . . .
QTY TOTAL
___ @ $99 = ______
___ @ $145 = ______
___ @ $550 = ______
___ @ $200 = ______
PAYMENT INFORMATION (payments are not tax deductible)
Enclosed is my check # _______ made payable to FRC Action
Please charge my Visa Mastercard Discover credit card for $_______________________
Cardholder’s Name ____________________________________________________________________________
Credit Card Number______________________________________________________Exp. Date ____________
Cardholder’s Signature _________________________________________________________________________
HOTEL INFORMATION – Rooms are available at the Omni Shoreham Hotel for a discounted group rate of $199. Please call 1-800-The Omni (800-843-6664) to reserve your room or you may register on-line at www.valuesvotersummit.org. You must mention FRC Action 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 on the day of arrival. You must also cancel 48 hours prior to arrival to avoid room cancellation penalty. HOTEL RESERVATIONS DEADLINE: AUGUST 14
PERSONAL INFORMATION (please print clearly):
Name________________________________________________________ Title _______________________________
Name of Spouse/Guest (if attending)_______________________________________________________________
Organization Name ___________________________________________________________________________
Mailing Address _______________________________________________________________________________
City________________________________________________State ___________________Zip______________
Daytime Phone ______________________________________ Cell Phone _____________________________________
Email:______________________________________________ Church_________________________________________09BR2I
REGISTRATION INFORMATION
I agree that a portion of my registration fee may be credited toward membership in FRC Action, which allows me the benefits listed at www.frcaction.org.
___ @ $75 = ______
___ @ $20 = ______
___ @ $35 = ______
___ @ $75 = ______
___ @ $20 = ______
___ @ $35 = ______
___ @ $250 = ______
___ @ $125 = ______
___ @ $50 = ______
Package and/or individual tickets TOTAL
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