Please help us get an idea of how many people to expect at the convention and what sort of logistical things we will need to take care of by filling out this short form. Don't forget to "like" our facebook page "Students for a Democratic Society (National)" and "follow" @NewSDS on twitter. For live updates during the convention text @NewSDS to 23559 and we'll keep you posted with what's going on through text message.

* 1. Name (First, Last)

* 2. Email address

* 3. SDS chapter or other affiliation (if any) and location (City, State, College/High School)?

* 4. How many people are coming with you? Will they be registering separately?

* 5. Phone number