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Legislative Summit Registration
Please complete a separate registration for each attendee.
This registration is for:
First Name
Last Name
Email
Phone
Soroptimist Club
Alpine
Azuza / Glendora
Borrego Springs
Brawley
Brea / La Habra
Buena Park
Calexico
Capistrano Bay
Coronado
Covina/W. Covina
Cypress
El Centro
Fallbrook
Fullerton
Garden Grove
Holtville
Huntington Beach
Irwindale
La Jolla
La Mesa
Laguna Beach
Lake Forest
Lemon Grove
Mission Bay
Newport Harbor Area
North Coast San Diego
Norwalk
Oceanside/Carlsbad
Orange
Pomona/Claremont
Poway
Puente Hills
Ramona
Rancho Bernardo
San Diego
San Dimas/La Verne
Santa Ana/Tustin
Santa Fe Springs
SI Artesia / Cerritos
Valley de Oro
Vista
Westminster
Whittier
Yuma
This attendee is
a Soroptimist Member
an Adult Guest of a Soroptimist
a Guest under 18 years
What type of meal would
you like to reserve?
Select an Option..
Regular Meal
Vegetarian Meal
Diabetic
If you are not a Soroptimist Member,
please tell us the name of your host:
Your total registration fee is: $
Copyright Soroptimist International of Desert Coast Region. All Rights Reserved. 2006-2008