Biennial Convention

First Name*

Last Name*

Your Email*

Phone Number*

Write Out the Full Name of Your Club*

Select Your Region*

Please choose ONLY ONE of the following options

Executive Committee (Elected and Appointed Officers and Regional Directors)Board of Directors (Standing Committee Chairs and Legislative Analysts)Club President (or Appointed Delegate)Club Member (No CFRW position)

Title if you are on the CFRW Executive Committee or CFRW Board of Directors:

Please select tickets you want to purchase*

Purchase Oct 21-24 Convention Ticket

Entire Convention Ticket USD 328--328

Convention Food Preferences

VegetarianNon-Vegetarian

The following meals will be included in the $355 convention price: Saturday plated breakfast, lunch, and dinner.

Purchase Opportunity Drawing Tickets

3 tickets for $25.00--2510 tickets for $75.00--7515 tickets for $100.00--100None

Purchase an Ambassadorship

Regent Ambassadorship $1000--1000Platinum Ambassadorship $500--500Golden Eagle Ambassador $250--250Golden Bear Ambassador $100--100Ambassador $50--50None

Friday visit to East Valley Republican Women Federated headquartersFriday Taco Truck Dinner $25--25

Total Cost