Young & College Democrats of North Carolina Convention Registration

Join us at the 2014 Young & College Democrats of North Carolina Convention!

When: Friday, March 28 to Sunday, March 30th

Where: Greenville, NC( The City Hotel and Bistro)

for more information visit: http://www.collegedemsnc.com/convention2014

Contribution Amount

$13 - Teen Democrat Ticket & Chartering Fee
$18 - College Democrat Ticket & Chartering Fee
$20 - Young Democrat Ticket
$40 - General Admission
$

Personal Information

First NameRequired
Last NameRequired
EmailRequired
Home AddressRequired
Home Address (line 2)
CityRequired
StateRequired
Zip/PostalRequired
Phone NumberRequired

Employment Information

EmployerRequired
OccupationRequired

Payment Information

Debit/Credit Card

Billing Information

Same as home address.
Billing Address
Billing Address (line 2)
City
State
Zip/Postal

Legal Compliance

I affirm that the following statements are true and accurate:

I am a United States citizen or a permanent resident alien.

This contribution is made from my own funds, and funds are not being provided to me by another person or entity for the purpose of making this contribution.

I am making this contribution with my own personal credit card and not with a corporate or business credit card or a card issued to another person.

I am not a federal contractor.

I am at least eighteen years old.

I am not a lobbyist registered in North Carolina.

I want to publish my name to the Young & College Democrats of North Carolina Convention Registration giving stream! (Note: your contribution amount will not be shown)

Your donation will appear on your credit card or bank statement as "RALLY/PIRYX"

Amount:

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Paid for by YDCD Convention, a joint fundraising committee of the Young Democrats of North Carolina and the Committee for the College Democrats.

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