2010 Billings WPLI Registration
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1. WPLI Online Registration Form

Please complete this online form (note there are multiple screens and you need to click "next" at the bottom of the screen) to register for the 2010 Billings Women's Policy Leadership Institute -- to be held at the Crowne Plaza Hotel - 27 N. 27th St. from 10am to 6pm Saturday April 17th. If you have any questions, please call Olivia at(406) 543-3550 X213 or email olivia@montanawomenvote.org.

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1. First Name

First Name

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2. Last Name

Last Name

3. Organization/Affiliation (optional)

Organization/Affiliation (optional)

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4. Street Address

Street Address

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5. City

City

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6. State

State

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7. Zip

Zip

8. Email

9. Phone

Phone

10. Please list any special dietary, transportation or physical accessibility needs.

Please list any special dietary, transportation or physical accessibility needs.

11. I will need childcare

I will need childcare Yes

More pages of this registration to follow -- don't forget to click next!

2010 Billings WPLI RegistrationExit this survey >>

1. WPLI Online Registration Form

*1. First Name

*2. Last Name