UUP ADVOCACY REGISTRATION FORM


**Registration deadline is Friday, Jan. 19, 2018**


REGISTRANT INFORMATION:
*First name:
*Last name:
Chapter:
*Home Address:
*City:
*State:
*Zip Code:
Phone:
*Non-edu Email:
*Will you need bus transportation
from headquarters to the LOB?


*Required



PLEASE CHOOSE AT LEAST ONE EVENT BELOW:

UUP Advocacy Day: 01/30/2018


 

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