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Add women, CHANGE everything.

Milwaukee Go Vote 2008 Registration
July 12, 2008

First Name Last Name
Street Address
City State
ZIP Code    
Age Primary Phone
Email Address    
 

How do you identify?

African American / Black

/ White

/ Indian
/ Native Hawaiian

 

How would you describe your political affiliation?









 

How did you hear about Go Vote?

 

What do you hope to learn from Go Vote?

 

What do you see is the future for women’s leadership?

 

$25 non-refundable registration fee.  Scholarship available.

I will pay on-line now. Payment on the next page via PayPal. You do not need a PayPal account to pay by credit card.
I will send a check no later than July 1st to The White House Project - 2402 University Avenue West, Ste. 600 - St. Paul, MN 55114
I need a scholarship, please give me a call